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Nicole Gebadlo

Cognitive & Behavioral Psychologist

2505 E Jefferson Blvd
South Bend , Indiana 46615-2635

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Image

Nicole Gebadlo

Cognitive & Behavioral Psychologist

2505 E Jefferson Blvd
South Bend , Indiana 46615-2635

(574) 234-2075

Write a Review Save Call

Nicole Gebadlo

Cognitive & Behavioral Psychologist

2505 E Jefferson Blvd
South Bend , Indiana 46615-2635

(574) 234-2075 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Cognitive & Behavioral Psychologist

Languages spoken

  • English

Location

2505 E Jefferson Blvd South Bend , Indiana 46615-2635

First Address

  • Nicole Gebadlo
  • Po Box 1049
  • South Bend, IN
  • Zip : 46624-1049
  • Fax : (574) 234-2075
  • Phone : (574) 289-4831

Second Address

  • Nicole Gebadlo
  • 2505 E Jefferson Blvd
  • South Bend, IN
  • Zip : 46615-2635
  • Fax : (574) 234-2075
  • Phone : (574) 289-4831

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FAQs


Where did Nicole Gebadlo attend graduate school?

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Where did Nicole Gebadlo do her residency?

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Where did Nicole Gebadlo do her fellowship?

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Is Nicole Gebadlo board certified?

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What type of doctor is Nicole Gebadlo

Cognitive & Behavioral Psychologist

In what state does Nicole Gebadlo practice in?

Indiana

Where is Nicole Gebadlo ’s practice located?

2505 E Jefferson Blvd , South Bend, Indiana, 46615-2635

What is Nicole Gebadlo ’s gender?

Female

Is Nicole Gebadlo a sole practitioner?

No

Is Nicole Gebadlo accepting new patients?

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What languages does Nicole Gebadlo speak?

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Does Nicole Gebadlo accept insurance?

Yes, Nicole Gebadlo accepts insurance

Does Nicole Gebadlo offers telemedicine?

Nicole Gebadlo has not indicated if she offers telemedicine

What is Nicole Gebadlo ’s professional license number?

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What is Nicole Gebadlo ’s NPI number?

1134302987

Does Nicole Gebadlo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TB0200X Cognitive & Behavioral Psychologist

National Provider Identifier

NPI 1134302987
Provider Name Nicole Gebadlo
First Address South Bend, IN 46624-1049
Second Address South Bend, IN 46615-2635
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/12/2007
Last Update Date 14/12/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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