Provider Demographics
NPI:1902057888
Name:MORELL-GIBOYEAUX, NEYDA SARAIH
Entity Type:Individual
Prefix:
First Name:NEYDA
Middle Name:SARAIH
Last Name:MORELL-GIBOYEAUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3736
Mailing Address - Country:US
Mailing Address - Phone:413-747-0705
Mailing Address - Fax:413-732-7075
Practice Address - Street 1:110 MAPLE ST
Practice Address - Street 2:TERRACE LEVEL
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1864
Practice Address - Country:US
Practice Address - Phone:413-846-4300
Practice Address - Fax:413-846-4311
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist