Provider Demographics
NPI:1396835658
Name:GABLE, JUDITH SAEKS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:SAEKS
Last Name:GABLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 GRANT RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3293
Mailing Address - Country:US
Mailing Address - Phone:650-961-4120
Mailing Address - Fax:650-988-8782
Practice Address - Street 1:1503 GRANT RD STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3293
Practice Address - Country:US
Practice Address - Phone:650-961-4120
Practice Address - Fax:650-988-8782
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALS110221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical