Doctor Name: | DR. CHERYL LEE GAEBEL |
NPI Number: | 1306937818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY-402 |
Business Practice Address: | 65-1231 Opelo Rd Kala Cottage #4 Kamuela, HI - 967438376 |
Business Phone Number: | 8088859668 |
Business Fax Number: | 8088858549 |
Mailing Address: | Po Box 6477, KAMUELA |
State: | HI |
Postal Code: | 967436477 |
Phone Number: | 8088859668 |
Fax Number: | 8088858549 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PSY-402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |