1366571366 NPI number — MRS. GAIL COHEN SCHUSTER L.C.S.W.

Table of content: MRS. GAIL COHEN SCHUSTER L.C.S.W. (NPI 1366571366)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366571366 NPI number — MRS. GAIL COHEN SCHUSTER L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHUSTER
Provider First Name:
GAIL
Provider Middle Name:
COHEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366571366
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3544 SPRING VALLEY CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNTAIN BROOK
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35223-1461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-967-3926
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3940 MONTCLAIR RD
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35213-2427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-879-3438
Provider Business Practice Location Address Fax Number:
205-871-5939
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  1708C , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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