Individual
KELLY GERHARDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
1400 BLACKHORSE HILL RD, BLDG 27N, COATESVILLE, PA 19320-2040
(610) 384-7711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020196
NY
103T00000X
Psychologist
1171
LA
Other
Enumeration date
06/23/2009
Last updated
06/20/2014
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