Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YS0200X | School Counselor | ||
N | 103K00000X | Behavior Analyst | ||
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TS0200X | School Psychologist |
NPI | 1225342272 |
---|---|
Provider Name | Alice Gammal |
First Address | Brooklyn, NY 11230-4606 |
Second Address | Brooklyn, NY 11230-4606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2010 |
Last Update Date | 02/08/2010 |