Provider Demographics
NPI:1326073883
Name:GABER, NATALIE SUSAN (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:SUSAN
Last Name:GABER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BORTON AVE
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4699
Mailing Address - Country:US
Mailing Address - Phone:856-566-3364
Mailing Address - Fax:856-435-0301
Practice Address - Street 1:1 GREENTREE CTR STE 201
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3105
Practice Address - Country:US
Practice Address - Phone:856-988-5457
Practice Address - Fax:856-435-0301
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00684600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ058351Medicare ID - Type UnspecifiedCMS NUMBER