Provider Demographics
NPI:1134194921
Name:HROMADKO, GAIL ARIEL (MA MFT)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:ARIEL
Last Name:HROMADKO
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SOUTH PALM CANYON DRIVE
Mailing Address - Street 2:STE 203
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264
Mailing Address - Country:US
Mailing Address - Phone:760-323-2524
Mailing Address - Fax:760-323-2528
Practice Address - Street 1:500 SOUTH PALM CANYON DRIVE
Practice Address - Street 2:STE 203
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264
Practice Address - Country:US
Practice Address - Phone:760-323-2524
Practice Address - Fax:760-323-2528
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 31927103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist