Individual
SAMUEL GABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13800 W NORTH AVE STE 120, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Mailing address
13800 W NORTH AVE STE 120, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811663420
—
WI
Enumeration date
08/23/2021
Last updated
10/31/2023
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