Provider Demographics
NPI:1891052866
Name:ABDALA, GABRIELA LAURA (SLP)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELA
Middle Name:LAURA
Last Name:ABDALA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 WHITE PLAINS RD
Mailing Address - Street 2:APT. 87F
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5518
Mailing Address - Country:US
Mailing Address - Phone:914-609-4880
Mailing Address - Fax:
Practice Address - Street 1:177 WHITE PLAINS RD
Practice Address - Street 2:APT. 87F
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5518
Practice Address - Country:US
Practice Address - Phone:914-609-4880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist