| Nicole Gabriel, Llc | |
|
6b Barry Ave Ridgefield CT 06877-4424 | |
| (203) 810-6090 | |
| Not Available |
| Full Name | Nicole Gabriel, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6b Barry Ave, Ridgefield, Connecticut |
| Authorized Official Name and Position | Nicole Gabriel (OWNER) |
| Authorized Official Contact | 2038106090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Gabriel, Llc 4 Whitney Street Ext Westport CT 06880-3768 Ph: (203) 810-6090 | Nicole Gabriel, Llc 6b Barry Ave Ridgefield CT 06877-4424 Ph: (203) 810-6090 |
| NPI Number | 1063777068 |
|---|---|
| Provider Enumeration Date | 07/06/2012 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063777068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 003148 (Connecticut) | Primary |
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