Provider Information for 1477958692
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
DEBORAH GULLATT LPC
Sex: Female
NPI: 1477958692
Last Updated: 2014-10-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1477958692 | ||||||||
| Enumeration Date | 2014-10-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 409 RUNNELS ST BIG SPRING, TX 79720-2529 United States Phone: 432-263-0027 | Fax: | ||||||||
| Primary Practice Address | 1501 W 11TH PL SUITE 104 BIG SPRING, TX 79720-4119 United States Phone: 432-263-0027 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|