Nicole Gebadlo
Cognitive & Behavioral Psychologist
2505 E Jefferson Blvd
South Bend
, Indiana 46615-2635
Nicole Gebadlo
Cognitive & Behavioral Psychologist
2505 E Jefferson Blvd
South Bend
, Indiana 46615-2635
(574) 234-2075
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
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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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.