Provider Demographics
NPI:1043413883
Name:GEHL, SHAYNA CHRISTINE (MED)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:CHRISTINE
Last Name:GEHL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 W HUMBOLDT PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2605
Mailing Address - Country:US
Mailing Address - Phone:716-835-9745
Mailing Address - Fax:716-835-6785
Practice Address - Street 1:525 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1711
Practice Address - Country:US
Practice Address - Phone:716-856-4494
Practice Address - Fax:716-842-1277
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool