Individual
DR. JEROME A GABIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7105 HAMILTON AVE, CINCINNATI, OH 45231-5218
(513) 522-0777
(513) 522-4577
Mailing address
PO BOX 634927, CINCINNATI, OH 45263-0042
(513) 891-2813
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4902
OH
103TA0700X
Adult Development & Aging Psychologist
4902
OH
103TC0700X
Clinical Psychologist
Primary
4902
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135017
—
OH
01
—
P00313314
RR MEDICARE
—
Enumeration date
07/21/2006
Last updated
03/24/2014
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