Individual
DR. MICHAEL EDWARD GERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 N LEROUX ST, SUITE 207, FLAGSTAFF, AZ 86001-5539
(928) 214-0872
(928) 214-0872
Mailing address
3 N LEROUX ST, SUITE 207, FLAGSTAFF, AZ 86001-5539
(928) 214-0872
(928) 214-0872
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1265
AZ
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
873639
AHCCCS
AZ
05
—
873639
—
AZ
Enumeration date
12/13/2006
Last updated
09/11/2025
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