Individual provider · Type 1 NPI
Phyllis Gildston, PhD
Mental Health Counselor · Great Neck, NY
NPI number
1669663050
Active
Practice location
275 Middle Neck Rd, Suite B-6
Great Neck, NY 11023-1925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 000296-1 (NY) |
| Marriage & Family Therapist | 106H00000X | 000340-1 (NY) |
| Audiologist | 231H00000X | 000080-1 (NY) |
| Speech-Language Pathologist | 235Z00000X | 000225-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1669663050
Phyllis Gildston, PhD's National Provider Identifier is 1669663050, issued on Aug 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Great Neck, NY. The record was last updated on Aug 9, 2007.