Provider Demographics
NPI:1720183841
Name:GABOWITZ, DAWNA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAWNA
Middle Name:MARIE
Last Name:GABOWITZ
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 1:45 LYMAN ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2628
Mailing Address - Country:US
Mailing Address - Phone:617-460-1175
Mailing Address - Fax:
Practice Address - Street 1:69 MILK ST
Practice Address - Street 2:SUITE 110-B
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1225
Practice Address - Country:US
Practice Address - Phone:617-460-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8775103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist