Provider Demographics
NPI:1427328822
Name:OBERST, GAIL
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:OBERST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-4109
Mailing Address - Country:US
Mailing Address - Phone:413-664-9382
Mailing Address - Fax:413-664-6293
Practice Address - Street 1:771 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-4109
Practice Address - Country:US
Practice Address - Phone:413-664-9382
Practice Address - Fax:413-664-6293
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2177571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical