Provider Demographics
NPI:1942708714
Name:GABRIEL, DAPHNAY LAURA
Entity Type:Individual
Prefix:MS
First Name:DAPHNAY
Middle Name:LAURA
Last Name:GABRIEL
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 1:13 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-1023
Mailing Address - Country:US
Mailing Address - Phone:401-744-1714
Mailing Address - Fax:
Practice Address - Street 1:13 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-1023
Practice Address - Country:US
Practice Address - Phone:401-744-1714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health