Provider Demographics
NPI:1043284953
Name:SZYKULA, GAIL TAYLOR (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:TAYLOR
Last Name:SZYKULA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 E 3300 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-3370
Mailing Address - Country:US
Mailing Address - Phone:801-478-2780
Mailing Address - Fax:801-478-2781
Practice Address - Street 1:1545 E 3300 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-3370
Practice Address - Country:US
Practice Address - Phone:801-478-2780
Practice Address - Fax:801-478-2781
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT332921-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT33292160001001OtherBLUE CROSS BLUE SHIELD
UT50504OtherPEHP
UT50504OtherPEHP