Provider Demographics
NPI:1942329008
Name:LAUER, GISELA E (RN, PHN, MFT)
Entity type:Individual
Prefix:
First Name:GISELA
Middle Name:E
Last Name:LAUER
Suffix:
Gender:F
Credentials:RN, PHN, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 E VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3008
Mailing Address - Country:US
Mailing Address - Phone:760-740-4043
Mailing Address - Fax:
Practice Address - Street 1:606 E. VALLEY PARKWAY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-8247
Practice Address - Country:US
Practice Address - Phone:760-740-4043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA370227163WA0400X, 163WC0400X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health