Individual
DR. KENNETH GERSTENHABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
5035 MAYFIELD RD, 212, LYNDHURST, OH 44124-2688
(216) 292-9306
(216) 464-3950
Mailing address
5035 MAYFIELD RD, 212, LYNDHURST, OH 44124-2688
(216) 292-9306
(216) 464-3950
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2995
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444497
—
OH
Enumeration date
04/05/2006
Last updated
12/04/2012
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