Individual
REBECCA LYNN GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(262) 305-5329
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(262) 305-5329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
WA PY60444029
WA
Other
Enumeration date
06/19/2012
Last updated
05/12/2016
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