NPI 1194452896

Dakota M Gillmore, PHD

Practitioner Clinical Psychologist Fort Drum, NY

Practice location

Address: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603
Phone: (888) 838-1303

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810008441 (VA)

Other Psychologist providers in New York →

Registry record

NPI: 1194452896
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2022
Record last updated: 10 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.