Individual
DOUGLAS LEONARD GERARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
111 S INDEPENDENCE MALL E, BOURSE BUILDING , SUITE # 968, PHILADELPHIA, PA 19106-2515
(215) 888-0317
Mailing address
111 SOUTH INDEPENDENCE MALL EAST, BOURSE BUILDING , SUITE # 968, PHILADELPHIA, PA 19106-2515
(215) 888-0317
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003108
PA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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