Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 014349 | NY |
N | 103TC0700X | Clinical Psychologist | 014349 | NY |
N | 103TH0100X | Health Service | 014349 | NY |
NPI | 1588629844 |
---|---|
Provider Name | Dr. Kathleen Mary Gill |
First Address | Rochester, NY 14620-4645 |
Second Address | Rochester, NY 14620-4645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 08/07/2007 |