MISS ELIZABETH ANN GAMBLE


Address: 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154
Phone: (910) 677-0000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 6000651 05
NC 2821711A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1638 Owen Dr, Fayetteville, NC 283043424 9106096440 9106095365

Other Providers ELIZABETH GAMBLE

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

Office Location

Street Address 559 EXECUTIVE PL STE 102
City FAYETTEVILLE
State NC
Zip Code 28305-5154

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28305

Improve Information

Please comment or provide details below to improve the information on MISS ELIZABETH ANN GAMBLE.

Dataset Information

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.

Trending Searches