MISS ELIZABETH ANN GAMBLE (NPI# 1093716672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093716672 |
Entity Type | Individual |
Full Name | MISS ELIZABETH ANN GAMBLE |
Credential | PSY.D. |
Practice Address |
559 Executive Pl Ste 102 Fayetteville NC 28305-5154 |
Mailing Address |
559 Executive Pl. Ste 102 Fayetteville NC 28305 |
Practice Telephone | (910) 677-0000 |
Practice Fax Number | 9106770099 |
Mailing Telephone | (910) 677-0000 |
Mailing Fax Number | 9106770099 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 1853 | NC | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | 1853 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6000651 | 05 | |
NC | 2821711A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1638 Owen Dr, Fayetteville, NC 283043424 | 9106096440 | 9106095365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265811590 | Elizabeth Coombs Gamble | Emergency Medicine | 50 N Dunlap St # 20, Memphis, TN 38103 | 2015-05-19 |
1538769369 | Elizabeth Gamble | Registered Nurse | 906 N Matthews Rd, Lake City, SC 29560-7011 | 2020-10-30 |
1518158062 | Elizabeth Gamble | Licensed Practical Nurse | 501 Market St, 2nd Floor, Lewisburg, PA 17837-3002 | 2007-08-08 |
1447203294 | Elizabeth Gamble | Anesthesiology | 101 Dudley St, Wih, Providence, RI 02905-2401 | 2006-05-19 |
1396702304 | Elizabeth Gamble | Nurse Practitioner | 333 Washington Ave N, Suite 5000, Minneapolis, MN 55401-1377 | 2006-04-26 |
1356326391 | Elizabeth Rhodes Gamble | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
Street Address |
559 EXECUTIVE PL STE 102 |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28305-5154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053830315 | Fayetteville Neuropsychology Pllc | Clinical Neuropsychologist | 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154 | 2017-09-18 |
1437694783 | Intellichoice Staffing LLC | In Home Supportive Care | 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154 | 2016-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
Find all providers in zip 28305 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538215660 | Ronald Eugene Mcinroe | Clinical Neuropsychologist | 217 North East, Fayetteville, AR 72701 | 2007-01-25 |
1881749539 | G. Martin Woodard | Clinical Neuropsychologist | 2711 Breezewood Ave, Suite A - 5, Fayetteville, NC 28303-5504 | 2007-01-24 |
1194816512 | James W Mikesell | Clinical Neuropsychologist | 7000 E Genesee St Bldg C, Fayetteville, NY 13066 | 2006-09-28 |
1700802485 | James M Fuendeling | Clinical Neuropsychologist | 2013 N Green Acres Rd, Suite C, Fayetteville, AR 72703-2619 | 2006-07-14 |
1649205006 | Anne Ward Stevens | Clinical Neuropsychologist | 86 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-07-12 |
1871527267 | Harvey E Chambers | Clinical Neuropsychologist | 2592 N Gregg Ave Ste 16, Fayetteville, AR 72703-5541 | 2006-07-10 |
1447202809 | Daniel J Johnson | Clinical Neuropsychologist | 1100 North College Ave, Veteran Health Care System of The Ozarks, Fayetteville, AR 72703 | 2006-05-16 |
1962476010 | Fred Harry Brown Jr. | Clinical Neuropsychologist | 268 Waxhaw St, Fayetteville, NC 28314-8628 | 2006-02-15 |
1053830315 | Fayetteville Neuropsychology Pllc | Clinical Neuropsychologist | 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154 | 2017-09-18 |
1205375250 | Gene Chambers Phd Pllc | Clinical Neuropsychologist | 2592 N Gregg Ave, Ste 16, Fayetteville, AR 72703-5543 | 2017-02-22 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28305 |
Please comment or provide details below to improve the information on MISS ELIZABETH ANN GAMBLE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.