Nicole Gabriel, Llc

NPI 1063777068 - Psychologist - 103TC0700X

NPI Details
NPI 1063777068
Enumeration Date 07/06/2012
Last Updated 07/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NICOLE NICOLE
Position OWNER
Phone (203) 810-6090
Fax
Practice Location
6B BARRY AVE
RIDGEFIELD CT, 06877-4424, US
Phone (203) 810-6090
Fax
Business Location
4 WHITNEY STREET EXT
WESTPORT CT, 06880-3768, US
Phone (203) 810-6090
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Connecticut
License Number 003148
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According to our database, Nicole Gabriel, Llc NPI is 1063777068, taxonomy code is 103TC0700X and license number is 003148, license state is located at Connecticut. Nicole Gabriel, Llc physically located at 6b Barry Ave, Ridgefield CT, 06877-4424. NPI Number 1033115704 has the healthcare provider type.

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1063777068 NPI number is provided on an as is basis without warranty of any kind. 1063777068 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Gabriel, Llc are for informational purposes only.