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Individual

DR. LARRY DEAN GEHRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
10 TRIEBLE DR, SUITE 3, TUNKHANNOCK, PA 18657-7025
(570) 836-6554
(570) 378-3675
Mailing address
263 EVERGREEN DR, FALLS, PA 18615-7812
(570) 836-6554
(570) 378-3675

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002829-L
PA

Other

Enumeration date
02/04/2007
Last updated
10/24/2011
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