| Roberta Gerling Llc | |
|
6400 Flying Cloud Dr Ste 180 Eden Prairie MN 55344-3337 | |
| (952) 217-3412 | |
| (952) 600-4136 |
| Full Name | Roberta Gerling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6400 Flying Cloud Dr Ste 180, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Roberta Lynn Gerling (PRESIDENT AND LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9522173412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta Gerling Llc 16204 Highway 7 Minnetonka MN 55345-3405 Ph: (952) 217-3412 | Roberta Gerling Llc 6400 Flying Cloud Dr Ste 180 Eden Prairie MN 55344-3337 Ph: (952) 217-3412 |
| NPI Number | 1548790215 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 11/24/2024 |
| Certification Date | 11/24/2024 |
| Medicare PECOS PAC ID | 5597036798 |
|---|---|
| Medicare Enrollment ID | O20170807001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548790215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | LP5808 (Minnesota) | Primary |
| Provider Name | Roberta L Gerling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164560934 PECOS PAC ID: 0143542548 Enrollment ID: I20141212001259 |
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