CAROLYN MARIE GAYLORD - NPI 1154698983 - Counselor in Champaign, IL

Q: What is Carolyn Gaylord's NPI number?

The NPI number for Carolyn Gaylord is 1154698983. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Q: What is Carolyn Gaylord's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Gaylord was last updated on November 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Carolyn Marie Gaylord NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN MARIE GAYLORD (NPI 1154698983) is an individual mental health provider in Champaign, Illinois and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1154698983

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCAROLYN MARIE GAYLORD

Location Address202 W PARK AVEChampaign, IL 61820-3929

Mailing Address706 S State St, BChampaign, IL 61820-8331

Phone(217) 373-2439

Sole ProprietorYes

Enumeration DateNovember 22, 2011

✔ NPI 1154698983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

202 W PARK AVE, Champaign, IL 61820

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JOSEPHINE F KALIPENI

Rehabilitation Counselor