Provider Demographics
NPI:1013123330
Name:GOMEZ, GABRIELA P (BA)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:P
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W ARRELLAGA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2903
Mailing Address - Country:US
Mailing Address - Phone:805-614-9535
Mailing Address - Fax:805-962-2965
Practice Address - Street 1:118 W ARRELLAGA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2903
Practice Address - Country:US
Practice Address - Phone:805-962-2963
Practice Address - Fax:805-962-2965
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health