Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 017404 | NY |
N | 103TC0700X | Clinical Psychologist | 017404 | NY |
N | 103G00000X | Clinical Psychologist | 017404 | NY |
N | 103TC0700X | Clinical Psychologist | 017404 | NY |
Y | 103G00000X | Clinical Psychologist | 9844 | MA |
Y | 103TC0700X | Clinical Psychologist | 9844 | MA |
N | 103TP2701X | Group Psychotherapist | 017404 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 017404 | NY |
NPI | 1629215751 |
---|---|
Provider Name | Dr. Robin K Gay |
First Address | Worcester, MA 01606-2714 |
Second Address | Leominster, MA 01453-4958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2009 |
Last Update Date | 14/12/2018 |