Healthcare Provider Details

I. General information

NPI: 1518876382
Provider Name (Legal Business Name): GRETCHEN FERMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 MAIN ST
WATSONVILLE CA
95076-4356
US

IV. Provider business mailing address

519 MAIN ST
WATSONVILLE CA
95076-4356
US

V. Phone/Fax

Practice location:
  • Phone: 831-688-6840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: