Provider Demographics
NPI:1265179873
Name:SPINELLA, GABRIELLE G
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:G
Last Name:SPINELLA
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 1:55 M ST NE APT 1121
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-5194
Mailing Address - Country:US
Mailing Address - Phone:919-448-7676
Mailing Address - Fax:
Practice Address - Street 1:4620 LEE HIGHWAY
Practice Address - Street 2:SUITE 215
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207
Practice Address - Country:US
Practice Address - Phone:703-243-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist