Provider Demographics
NPI:1972639193
Name:GABELBERGER, MARIA CS (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CS
Last Name:GABELBERGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:CHRISTINA
Other - Last Name:SALOMONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:978 N PENN DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4344
Mailing Address - Country:US
Mailing Address - Phone:484-557-7195
Mailing Address - Fax:650-560-1505
Practice Address - Street 1:978 N PENN DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4344
Practice Address - Country:US
Practice Address - Phone:484-557-7195
Practice Address - Fax:650-560-1505
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA016177103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11719939OtherCAQH