Provider Demographics
NPI:1457917734
Name:NERL, GABRIELLE (LPC)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:NERL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:PORETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:552 LLOYD AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2237
Mailing Address - Country:US
Mailing Address - Phone:215-272-7382
Mailing Address - Fax:
Practice Address - Street 1:506 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2776
Practice Address - Country:US
Practice Address - Phone:484-693-0853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011280101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional