Provider Demographics
NPI:1235277039
Name:GABBERT, MELANIE GRACE (MA)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:GRACE
Last Name:GABBERT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 S 30TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1457
Mailing Address - Country:US
Mailing Address - Phone:402-314-1197
Mailing Address - Fax:
Practice Address - Street 1:1430 SOUTH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-2446
Practice Address - Country:US
Practice Address - Phone:402-437-8986
Practice Address - Fax:402-437-8928
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1693101YM0800X
NE1024101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional