Provider Demographics
NPI:1326375825
Name:GILL, CATHERINE DEMIS (LPC, BCBA)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:DEMIS
Last Name:GILL
Suffix:
Gender:F
Credentials:LPC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520 DUNMORE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-2740
Mailing Address - Country:US
Mailing Address - Phone:910-619-1200
Mailing Address - Fax:
Practice Address - Street 1:5520 DUNMORE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-2740
Practice Address - Country:US
Practice Address - Phone:910-619-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7595101Y00000X
NC1-05-2502103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst