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Organization

RICHARD GELB PHD ABPN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD GELB PHD LCSW LCAS RN (PRES OF RICHARD GELB PHD ABPN PC)
(734) 324-8930
Entity
Organization

Contact information

Practice address
20500 EUREKA ROAD, SUITE 315, TAYLOR, MI 48180-5370
(734) 324-8930
(734) 324-8931
Mailing address
20500 EUREKA ROAD, SUITE 315, TAYLOR, MI 48180-5370
(734) 324-8930
(734) 324-8931

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301005856
MI
103T00000X
Psychologist
6301005856
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038909
BLUE CARE NETWORK OF MI
MI
01
038909
VALUE OPTIONS
01
2022608
CIGNA BEH
01
OH230440
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
08/04/2006
Last updated
09/11/2025
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