Provider Demographics
NPI:1710285440
Name:GABRIEL, ADAMI A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ADAMI
Middle Name:A
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2116 FRIAR CT
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3555
Mailing Address - Country:US
Mailing Address - Phone:920-412-7793
Mailing Address - Fax:866-731-1124
Practice Address - Street 1:1011 SURREY LN STE 200
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4274
Practice Address - Country:US
Practice Address - Phone:469-248-7591
Practice Address - Fax:866-731-1124
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-04
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX34988103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical