Gale Dollard, LGPC
Individual provider Active NPI Counselor · Belcamp, MD
NPI 1588085245 · NPPES record last updated Dec 26, 2013
Key facts
- NPI
- 1588085245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LGPC5454 (MD)
- Practice address
- 1200 Brass Mill Rd
Suite a
Belcamp, MD 21017-1217 - Phone
- (410) 935-1489
- NPI assigned
- Dec 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGPC5454 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burris Behavioral Health LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGPC5454 | MD | Yes |
Addresses
Primary practice location
1200 Brass Mill Rd
Suite a
Belcamp, MD 21017-1217
Mailing address
46 Bay Club Pkwy
North East, MD 21901-4711
Phone (813) 422-3170
Other providers in Belcamp, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.