Individual provider · Type 1 NPI
Lisa Teresita Gabourel-Dockery
Registered Record Administrator · Raleigh, NC
NPI number
1124731559
Active
Practice location
4265 Offshore Dr
Raleigh, NC 27610-4899
Mailing address
PO Box 1512
Knightdale, NC 27545-1512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Registered Record Administrator Primary | 246YR1600X | None listed |
Registered Record Administrator: None
About NPI 1124731559
Lisa Teresita Gabourel-Dockery's National Provider Identifier is 1124731559, issued on Dec 30, 2022. The primary taxonomy on file is Registered Record Administrator (246YR1600X), and the practice location is in Raleigh, NC. The record was last updated on Dec 30, 2022.