Provider Demographics
NPI:1538244694
Name:THOMPSON, GAIL BLEYLE (MSED LPC NBCC)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:BLEYLE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MSED LPC NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:900 WOODBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-2108
Mailing Address - Country:US
Mailing Address - Phone:412-260-0952
Mailing Address - Fax:412-343-1151
Practice Address - Street 1:2961 WEST LIBERTY AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216
Practice Address - Country:US
Practice Address - Phone:412-260-0952
Practice Address - Fax:412-343-1151
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000988103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist