Individual
ERICA JEX GERGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4140
(269) 372-0390
Mailing address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4140
(269) 372-0390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301015111
LICENSE #
MI
Enumeration date
11/06/2012
Last updated
11/29/2018
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