| Mitchell L Gelber Edd Pc | |
|
804 Ainsworth Drive #105 Prescott AZ 86301 | |
| (928) 777-0919 | |
| (928) 777-8897 |
| Full Name | Mitchell L Gelber Edd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 804 Ainsworth Drive, Prescott, Arizona |
| Authorized Official Name and Position | Mitchell L Gelber (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9287770919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell L Gelber Edd Pc 804 Ainsworth Drive #105 Prescott AZ 86301 Ph: (928) 777-0919 | Mitchell L Gelber Edd Pc 804 Ainsworth Drive #105 Prescott AZ 86301 Ph: (928) 777-0919 |
| NPI Number | 1487619342 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6103070255 |
|---|---|
| Medicare Enrollment ID | O20130125000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487619342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1621 (Arizona) | Primary |
| Provider Name | Mitchell L Gelber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700060316 PECOS PAC ID: 7810975125 Enrollment ID: I20040713000384 |
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