Provider Demographics
NPI:1851599153
Name:ARBONA-PETERSEN, GABRIELA IVANOVA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:IVANOVA
Last Name:ARBONA-PETERSEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 BEACON ST
Mailing Address - Street 2:UNIT # 5
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-1346
Mailing Address - Country:US
Mailing Address - Phone:623-341-7434
Mailing Address - Fax:
Practice Address - Street 1:2 COURTHOUSE LN UNIT 3
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1716
Practice Address - Country:US
Practice Address - Phone:978-275-9444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-07
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist