Provider Demographics
NPI:1205498805
Name:GABRIELLE LAWRENCE PHD PC
Entity type:Organization
Organization Name:GABRIELLE LAWRENCE PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-607-5030
Mailing Address - Street 1:10245 E VIA LINDA BLVD.
Mailing Address - Street 2:STE. 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5316
Mailing Address - Country:US
Mailing Address - Phone:480-607-5030
Mailing Address - Fax:480-612-0213
Practice Address - Street 1:10245 E VIA LINDA BLVD.
Practice Address - Street 2:STE. 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5316
Practice Address - Country:US
Practice Address - Phone:480-607-5030
Practice Address - Fax:480-948-9054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty