Individual
GERALD LEE CIPKALA-GAFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10475 PERRY HWY, SUITE 100, WEXFORD, PA 15090-9274
(724) 940-2363
(724) 940-2363
Mailing address
2523 MATTERHORN DR, WEXFORD, PA 15090-7963
(724) 940-2363
(724) 940-2363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4793
OH
103T00000X
Psychologist
PS006097L
PA
103TA0700X
Adult Development & Aging Psychologist
4793
OH
103TA0700X
Adult Development & Aging Psychologist
PS006097L
PA
103TC0700X
Clinical Psychologist
4793
OH
103TC0700X
Clinical Psychologist
Primary
PS006097L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
4793
OH
103TC2200X
Clinical Child & Adolescent Psychologist
PS006097L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014761210002
—
PA
05
—
0160730
—
OH
Enumeration date
11/21/2006
Last updated
04/25/2016
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