Rodriguez, Gabriela Marie

Rodriguez, Gabriela Marie is an individual health care provider with primary practice located at 1002 Wishard Blvd Ste 4110 , Indianapolis IN 46202-2872. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rodriguez, Gabriela Marie can be contacted via phone (317) 944-8162.

Contact Information

Primary practice address
1002 Wishard Blvd Ste 4110 Indianapolis IN 46202-2872
Phone: (317) 944-8162
Fax: (317) 948-0609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20043126A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043126A Indiana

Profile Details

NPI number 1558806448
LBN Legal business name Rodriguez, Gabriela Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2016
Last updated Dec 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558806448 NPPES
Indiana MEDICAID 300020689
Indiana Other 264430817

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