Provider Demographics
NPI:1922166842
Name:HILBERG, GABRIELE - (PHD, MFT)
Entity Type:Individual
Prefix:
First Name:GABRIELE
Middle Name:-
Last Name:HILBERG
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1669 GRETEL LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3706
Mailing Address - Country:US
Mailing Address - Phone:650-314-0133
Mailing Address - Fax:650-314-0134
Practice Address - Street 1:1669 GRETEL LN
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3706
Practice Address - Country:US
Practice Address - Phone:650-314-0133
Practice Address - Fax:650-314-0134
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM 18099101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health