Provider Demographics
NPI:1144745696
Name:GERBIE, GAIL DIANE (LMFT)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:DIANE
Last Name:GERBIE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28640 MOUNTAIN LILAC RD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-6203
Mailing Address - Country:US
Mailing Address - Phone:760-807-1300
Mailing Address - Fax:
Practice Address - Street 1:27715 MOUNTAIN MEADOW RD UNIT 37A
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-7309
Practice Address - Country:US
Practice Address - Phone:760-807-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-06
Last Update Date:2017-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53709106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist