MS. GAYLE SHERMAN CRANDELL


Address: 1133 Grand Ave, Saint Paul, MN 55105-2629
Phone: 6516410177

MS. GAYLE SHERMAN CRANDELL (NPI# 1982737763) 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) 1982737763
Entity Type Individual
Full Name MS. GAYLE SHERMAN CRANDELL
Credential M.A.
Practice Address 1133 Grand Ave
Saint Paul
MN 55105-2629
Mailing Address 952 Grand Ave
Saint Paul
MN 55105-3014
Practice Telephone 6516410177
Practice Fax Number 6516418635
Mailing Telephone 6128190556
Enumeration Date 2007-03-13
Last Update Date 2011-08-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
LPCC00068 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1133 GRAND AVE
City SAINT PAUL
State MN
Zip Code 55105-2629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386770998 Karen F Heegaard Psychologist 1133 Grand Ave, Saint Paul, MN 55105-2629 2007-02-26
1205142882 Robin Nicole Kim Marriage & Family Therapist 1133 Grand Ave, Saint Paul, MN 55105-2629 2010-08-20
1780907055 Emilie Nimmo Counselor 1133 Grand Ave, Saint Paul, MN 55105-2629 2010-03-01
1396071486 Nida Gauhar Counselor 1133 Grand Ave, Saint Paul, MN 55105-2629 2009-10-23
1801022447 Jennifer Baker-jones Counselor 1133 Grand Ave, Saint Paul, MN 55105-2629 2009-06-10
1750506259 Sarah Logan Counselor 1133 Grand Ave, Saint Paul, MN 55105-2629 2007-04-17
1093845679 Jacqueline Suzanne Denison Getchius Student in an Organized Health Care Education/Training Program 1133 Grand Ave, Saint Paul, MN 55105-2629 2007-03-06
1831226596 Dianna Lynn Diers Marriage & Family Therapist 1133 Grand Ave, Saint Paul, MN 55105-2629 2007-02-28
1144357542 Thomas Matthew Ellis Counselor 1133 Grand Ave, Saint Paul, MN 55105-2629 2007-02-27

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City SAINT PAUL
Zip Code 55105

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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.

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