Provider Demographics
NPI:1194923524
Name:SPEEGLE, GALE I (MFTI)
Entity type:Individual
Prefix:
First Name:GALE
Middle Name:I
Last Name:SPEEGLE
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 RICHLAND RD
Mailing Address - Street 2:STE#C
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-6270
Mailing Address - Country:US
Mailing Address - Phone:530-674-7770
Mailing Address - Fax:530-674-5240
Practice Address - Street 1:822 RICHLAND RD
Practice Address - Street 2:STE#C
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-6270
Practice Address - Country:US
Practice Address - Phone:530-674-7770
Practice Address - Fax:530-674-5240
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF46803106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist