Provider Demographics
NPI:1639255136
Name:GABLER, CHRISTINA MARIE (AUD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:GABLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:GABLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2002 E PALOMINO DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3309
Mailing Address - Country:US
Mailing Address - Phone:602-281-0048
Mailing Address - Fax:
Practice Address - Street 1:5202 E MAIN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-8038
Practice Address - Country:US
Practice Address - Phone:480-218-1328
Practice Address - Fax:480-218-1330
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA4977237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ995681Medicaid
AZ3714131OtherDEPT. OF EDUCATION CERT