Individual
GERALD LEE WEST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1807 LINCOLN WAY E, MASSILLON, OH 44646-6962
(330) 833-3420
(330) 833-8428
Mailing address
1724 BRUCE ST, CANAL FULTON, OH 44614-9313
(330) 833-3420
(330) 833-8428
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4566
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052308
—
OH
Enumeration date
01/13/2006
Last updated
07/09/2007
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