Organization Name: | DR GABBERT CLINICAL PSYCHOLOGIST PLLC |
NPI Number: | 1164889416 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY A GABBERT (MANAGING MEMBER) |
Mailing Address: | 806 Highway 8 N Hettinger |
State: | ND US |
Postal Code: | 586398825 |
Phone Number: | 7015676631 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2016 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Forensic |
Taxonomy Definition: |