Provider Demographics
NPI:1194917567
Name:BARGEN, GABRIEL ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:ANNE
Last Name:BARGEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:GABRIEL
Other - Middle Name:ANNE
Other - Last Name:GARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 SUNNYSIDE AVE
Mailing Address - Street 2:3001 DOLE
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66045-7599
Mailing Address - Country:US
Mailing Address - Phone:785-864-0633
Mailing Address - Fax:
Practice Address - Street 1:1200 SUNNYSIDE AVE
Practice Address - Street 2:2101 HAWORTH HALL
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66045-7600
Practice Address - Country:US
Practice Address - Phone:785-864-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2133231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist