Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PY3494 | FL |
N | 103T00000X | Psychologist | PY3494 | FL |
Y | 103G00000X | Clinical Psychologist | PY3494 | FL |
Y | 103TC0700X | Clinical Psychologist | PY3494 | FL |
N | 103TC1900X | Counseling Psychologist | PY3494 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1134117658 |
---|---|
Provider Name | Gaye Gompers |
First Address | North Miami, FL 33161-5821 |
Second Address | Miami, FL 33176-1044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 27/08/2014 |