Individual
JENNIFER GERDTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY60319475
WA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY60319475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063853596
—
WA
Enumeration date
07/12/2013
Last updated
01/09/2019
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