Provider Demographics
NPI:1790357424
Name:SMAIL, GABRIELLA MCDANNEL
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:MCDANNEL
Last Name:SMAIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 BRISCOE CT
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-1241
Mailing Address - Country:US
Mailing Address - Phone:814-404-0668
Mailing Address - Fax:
Practice Address - Street 1:6104 OLD FREDERICKSBURG RD # 90851
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1216
Practice Address - Country:US
Practice Address - Phone:512-651-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst