Provider Demographics
NPI:1659311041
Name:CABA, GULDAL (PHD)
Entity Type:Individual
Prefix:DR
First Name:GULDAL
Middle Name:
Last Name:CABA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3454 OAK ALLEY COURT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1306
Mailing Address - Country:US
Mailing Address - Phone:419-536-3277
Mailing Address - Fax:419-475-4940
Practice Address - Street 1:3454 OAK ALLEY COURT
Practice Address - Street 2:SUITE 101
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1306
Practice Address - Country:US
Practice Address - Phone:419-536-3277
Practice Address - Fax:419-475-4940
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6006103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHQ34286Medicare UPIN
OHCP30721Medicare ID - Type Unspecified