Dr. Virginia (Ginger) Silloway Gummelt, PhD, LCSW
Social Worker, Clinical in Beaumont, TX. Individual provider (NPI-1).
NPI number1164092789
StatusActive
Last updated in NPPESJun 27, 2021
Details
- NPI
- 1164092789
- Entity type
- Individual (NPI-1)
- Name
- Dr. Virginia (Ginger) Silloway Gummelt
- Credential
- PhD, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2021
- Certification date
- Jun 27, 2021
- Last updated
- Jun 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 52116 | TX | Yes |
Practice location
1535 Infinity LnBeaumont, TX 77706-3415
Phone 409-790-3337
Mailing address
1535 Infinity LnBeaumont, TX 77706-3415
Phone 409-790-3337
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