Individual
DR. JONATHAN B GERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
501 PULLIAM ST SW, SUITE 407, ATLANTA, GA 30312-2755
(404) 474-7021
Mailing address
413 CARTER AVE SE, ATLANTA, GA 30317-3246
(404) 213-7151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003460
GA
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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