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NPI Code Detail

MEDICARE: DR. TRACEY L GERSH PHD

MEDICARE:  DR. TRACEY L GERSH  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistO3303MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447278312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACEY L GERSH PHD
Provider Business Mailing Address
First Line : 1001 CATHEDRAL ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21201-5403
Country : US
Telephone Number : 410-837-2050
Fax Number : 410-837-7793
Provider Business Practice Location Address
First Line : 1001 CATHEDRAL ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21201-5403
Country : US
Telephone Number : 410-837-2050
Fax Number : 410-837-7793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 05/21/2008

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Directions to “ DR. TRACEY L GERSH PHD” Practice Location

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