| Roberta Gerling Llc | |
|
16204 Highway 7 Minnetonka MN 55345-3405 | |
| (952) 217-3412 | |
| (952) 934-3010 |
| Full Name | Roberta Gerling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 16204 Highway 7, Minnetonka, 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 16204 Highway 7 Minnetonka MN 55345-3405 Ph: (952) 217-3412 |
| NPI Number | 1548790215 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 07/21/2022 |
| 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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