Provider Demographics
NPI:1841341609
Name:GNADE, GAIL ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:ELIZABETH
Last Name:GNADE
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 1:679B EMORY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-7756
Mailing Address - Country:US
Mailing Address - Phone:865-909-1490
Mailing Address - Fax:865-220-0782
Practice Address - Street 1:679B EMORY VALLEY RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-7756
Practice Address - Country:US
Practice Address - Phone:865-909-1490
Practice Address - Fax:865-220-0782
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1676103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3686935Medicare ID - Type UnspecifiedMEDICARE