Provider Demographics
NPI:1013589043
Name:MOATS, GABRIELA ECHAVARRIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:ECHAVARRIA
Last Name:MOATS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:ECHAVARRIA-MOATS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:901 WILD BASIN LEDGE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-2735
Mailing Address - Country:US
Mailing Address - Phone:512-913-8067
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019952103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist