Individual
MICHAEL P GOBEL
Active
Individual
MICHAEL P GOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS003608L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS003608L
PA
103TC0700X
Clinical Psychologist
Primary
PS003608L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01097401
CAPITAL BLUE CROSS
PA
05
—
0553950
—
PA
01
—
2179256
CIGNA BEHAVIORAL HEALTH
PA
01
—
227687000
MAGELLAN
PA
01
—
3108751
MAMSI
PA
01
—
455630
VALUE OPTIONS
PA
01
—
GO71883
PA BLUE SHIELD
PA
Enumeration date
06/15/2006
Last updated
06/13/2016
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