Provider Demographics
NPI:1508688540
Name:PIAZZA, GABRIELLA V (AMFT)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:V
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 W ANAPAMU ST APT D
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6287
Mailing Address - Country:US
Mailing Address - Phone:805-350-4304
Mailing Address - Fax:
Practice Address - Street 1:332 W ANAPAMU ST APT D
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6287
Practice Address - Country:US
Practice Address - Phone:805-350-4304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT11832106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist