Provider Demographics
NPI:1316101850
Name:GABLE, GREGORY K (PSYD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:K
Last Name:GABLE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MCGOVERN AVENUE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-1923
Mailing Address - Country:US
Mailing Address - Phone:717-419-4074
Mailing Address - Fax:
Practice Address - Street 1:32 MCGOVERN AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-1923
Practice Address - Country:US
Practice Address - Phone:717-419-4074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016456103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical