| Thomas J. Gerbner, Ph.d., Inc. | |
|
15 Presidential Blvd Suite 202 Bala Cynwyd PA 19004-1006 | |
| (610) 667-7667 | |
| (610) 667-7364 |
| Full Name | Thomas J. Gerbner, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 15 Presidential Blvd, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Thomas J. Gerbner (PSYCHOLOGIST) |
| Authorized Official Contact | 6106677667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J. Gerbner, Ph.d., Inc. 120 Ellis Rd Havertown PA 19083-1109 Ph: (610) 368-3773 | Thomas J. Gerbner, Ph.d., Inc. 15 Presidential Blvd Suite 202 Bala Cynwyd PA 19004-1006 Ph: (610) 667-7667 |
| NPI Number | 1689976029 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 03/02/2011 |
| Medicare PECOS PAC ID | 0840471678 |
|---|---|
| Medicare Enrollment ID | O20110225000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689976029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Thomas J Gerbner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083836712 PECOS PAC ID: 6507048188 Enrollment ID: I20110303000819 |
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