Provider Demographics
NPI:1508404401
Name:KORMAN, GABRIELLE NICOLE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:NICOLE
Last Name:KORMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4085 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078
Mailing Address - Country:US
Mailing Address - Phone:800-854-3123
Mailing Address - Fax:
Practice Address - Street 1:2801 WEHRLE DR
Practice Address - Street 2:STE 12-14
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7381
Practice Address - Country:US
Practice Address - Phone:716-634-1058
Practice Address - Fax:716-634-1735
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor