Individual
DR. GABRIELA VIVIAN MEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6833 4TH ST NW, WASHINGTON, DC 20012-1901
(202) 729-3300
Mailing address
1705 W CULLERTON ST APT 1, CHICAGO, IL 60608-5452
(215) 460-1915
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7771344
ID
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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