Individual
DR. AMY HERSTEIN GERVASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1052 MAIN ST, SUITE 202, STEVENS POINT, WI 54481-2848
(715) 254-5843
Mailing address
2324 DIXON ST, STEVENS POINT, WI 54481-3939
(715) 254-5843
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2201-057
WI
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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