Provider Demographics
NPI:1326342643
Name:DICHTER, GABRIEL S (PHD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:S
Last Name:DICHTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WOODLEAF DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8735
Mailing Address - Country:US
Mailing Address - Phone:919-923-2932
Mailing Address - Fax:919-869-2990
Practice Address - Street 1:UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Practice Address - Street 2:CB 3366
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-923-2932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3548103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist