Doctor Name: | DR. GISELLE FAUBEL |
NPI Number: | 1730392283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY. D. |
License Number: | 6088 |
Business Practice Address: | 17490 Sw 58th St Southwest Ranches, FL - 333312332 |
Business Phone Number: | 3052053636 |
Business Fax Number: | 9546803323 |
Mailing Address: | 17490 Sw 58th Street, SOUTH WEST RANCHES |
State: | FL |
Postal Code: | 33331 |
Phone Number: | 3052053636 |
Fax Number: | 9546803323 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6088 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |