Individual
DR. MITCHELL L GELBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
804 AINSWORTH DR, SUITE #105, PRESCOTT, AZ 86301-1624
(928) 777-0919
Mailing address
804 AINSWORTH DR, SUITE #105, PRESCOTT, AZ 86301-1624
(928) 777-0919
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1621
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104513
—
AZ
Enumeration date
12/19/2007
Last updated
12/19/2007
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