Provider Demographics
NPI:1790044451
Name:FISCHER, GABRIEL (BA PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:FISCHER
Suffix:
Gender:M
Credentials:BA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 BROWNSVILLE RD
Mailing Address - Street 2:3
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-4535
Mailing Address - Country:US
Mailing Address - Phone:412-853-0588
Mailing Address - Fax:
Practice Address - Street 1:2307 BROWNSVILLE RD
Practice Address - Street 2:3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-4535
Practice Address - Country:US
Practice Address - Phone:412-853-0588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health