Organization
BLUESTONE PSYCHOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY GERBER PHD (PARTNER)
(512) 809-8379
Entity
Organization
Contact information
Practice address
4613A BEE CAVES RD STE 24, WEST LAKE HILLS, TX 78746-5212
(540) 418-0088
Mailing address
PO BOX 5603, AUSTIN, TX 78763-5603
(512) 809-8378
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043720048
NPI
VA
Enumeration date
05/20/2022
Last updated
05/20/2022
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