Provider Demographics
NPI:1891029047
Name:MENGEL, GAIL EPSTEIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:EPSTEIN
Last Name:MENGEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SYLVIA HTS
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-3504
Mailing Address - Country:US
Mailing Address - Phone:413-537-9722
Mailing Address - Fax:413-549-1333
Practice Address - Street 1:10 SYLVIA HTS
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-3504
Practice Address - Country:US
Practice Address - Phone:413-537-9722
Practice Address - Fax:413-549-1333
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2585103T00000X
MA203984103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist