Provider Demographics
NPI:1982811451
Name:GILLIES, RAYANNE FERENZ (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAYANNE
Middle Name:FERENZ
Last Name:GILLIES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RAYANNE
Other - Middle Name:
Other - Last Name:FERENZ-GILLIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5301 LIMESTONE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1250
Mailing Address - Country:US
Mailing Address - Phone:302-593-6685
Mailing Address - Fax:302-234-1017
Practice Address - Street 1:5301 LIMESTONE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1250
Practice Address - Country:US
Practice Address - Phone:302-593-6685
Practice Address - Fax:302-234-1017
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000504103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical