| Doctor Name: | GABRIELLE ELIZABETH FAGGELLA |
| NPI Number: | 1093924557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.S.A., L.I.S.W.-S |
| License Number: | I0004136 |
| Business Practice Address: | 3094 W Market St Suite 110 Fairlawn, OH - 443333626 |
| Business Phone Number: | 3308368370 |
| Business Fax Number: | 3308368373 |
| Mailing Address: | 3094 W Market St, Suite 110 FAIRLAWN |
| State: | OH |
| Postal Code: | 443333626 |
| Phone Number: | 3308368370 |
| Fax Number: | 3308368373 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 05/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0004136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |