Provider Demographics
NPI:1669345450
Name:WEISER, GABRIELLE LAUREN
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:LAUREN
Last Name:WEISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 N CENTRAL AVE UNIT 6003
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2827
Mailing Address - Country:US
Mailing Address - Phone:480-516-4969
Mailing Address - Fax:480-680-2052
Practice Address - Street 1:5958 E JUNIPER AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-9225
Practice Address - Country:US
Practice Address - Phone:480-516-4969
Practice Address - Fax:480-680-2052
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA167972355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant