Provider Demographics
NPI:1831232826
Name:SAYLER, GLORIA W (MSS, LICSW)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:W
Last Name:SAYLER
Suffix:
Gender:F
Credentials:MSS, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 10129
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE IS.
Mailing Address - State:WA
Mailing Address - Zip Code:98110
Mailing Address - Country:US
Mailing Address - Phone:206-714-2728
Mailing Address - Fax:
Practice Address - Street 1:16821 AGATE PASS RD NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE IS
Practice Address - State:WA
Practice Address - Zip Code:98110
Practice Address - Country:US
Practice Address - Phone:206-714-2728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000049241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical