Felicia Glenn Gerrol, Ph.d., Inc | |
1 Rosemary Dr Dover NH 03820-2700 | |
(518) 221-8518 | |
(518) 453-2326 |
Full Name | Felicia Glenn Gerrol, Ph.d., Inc |
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Speciality | Psychologist |
Location | 1 Rosemary Dr, Dover, New Hampshire |
Authorized Official Name and Position | Felicia Glenn Gerrol (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 5182218518 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Felicia Glenn Gerrol, Ph.d., Inc 1 Rosemary Dr Dover NH 03820-2700 Ph: (518) 221-8518 | Felicia Glenn Gerrol, Ph.d., Inc 1 Rosemary Dr Dover NH 03820-2700 Ph: (518) 221-8518 |
NPI Number | 1447772033 |
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Provider Enumeration Date | 07/14/2017 |
Last Update Date | 07/12/2023 |
Certification Date | 07/12/2023 |
Medicare PECOS PAC ID | 2769723592 |
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Medicare Enrollment ID | O20190404001455 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447772033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 011469 (New York) | Primary |
Provider Name | Felicia Glenn Gerrol |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235227612 PECOS PAC ID: 3971765454 Enrollment ID: I20120430000000 |
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