Individual
DR. GABRIELLE JOAN PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
204 EAST JOPPA ROAD, PENTHOUSE 14A, TOWSON, MD 21286-3118
(410) 296-3281
(410) 833-3914
Mailing address
204 EAST JOPPA ROAD, HAMPTON HOUSE BUILDING PENTHOUSE 14A, TOWSON, MD 21286-3118
(410) 296-3281
(410) 833-3914
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MD01406
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G704
BCBS
MD
01
—
T187
BCBS
MD
Enumeration date
03/06/2007
Last updated
07/08/2007
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