Provider Demographics
NPI:1780905745
Name:SZEMES, GABRIELA FERNANDEZ (PSYD)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:FERNANDEZ
Last Name:SZEMES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-4155
Mailing Address - Country:US
Mailing Address - Phone:781-935-4000
Mailing Address - Fax:781-932-0780
Practice Address - Street 1:30 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-4155
Practice Address - Country:US
Practice Address - Phone:781-935-4000
Practice Address - Fax:781-932-0780
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9274103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist