Provider Demographics
NPI:1285745273
Name:SAHL, GAYLA MICHELLE (PHD)
Entity type:Individual
Prefix:DR
First Name:GAYLA
Middle Name:MICHELLE
Last Name:SAHL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16990 DALLAS PKWY
Mailing Address - Street 2:SUITE 255
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1926
Mailing Address - Country:US
Mailing Address - Phone:972-757-4929
Mailing Address - Fax:
Practice Address - Street 1:16990 DALLAS PKWY
Practice Address - Street 2:SUITE 255
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1926
Practice Address - Country:US
Practice Address - Phone:972-757-4929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.007405103TC0700X
TX34735103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1215255047OtherTYPE II NPI