Provider Demographics
NPI:1336969021
Name:TSUEI, GABRIEL (PPS)
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:
Last Name:TSUEI
Suffix:
Gender:M
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41700 DENISE ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-4562
Mailing Address - Country:US
Mailing Address - Phone:510-656-2000
Mailing Address - Fax:
Practice Address - Street 1:41700 DENISE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-4562
Practice Address - Country:US
Practice Address - Phone:510-656-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200147245103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool