Individual
CARISSA R GEHL
Active
Individual
CARISSA R GEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
001204
IA
103G00000X
Clinical Neuropsychologist
LP5020
MN
103T00000X
Psychologist
001204
IA
103TC0700X
Clinical Psychologist
LP5020
MN
Other
Enumeration date
10/09/2007
Last updated
02/06/2020
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