Healthcare Provider Details

I. General information

NPI: 1083210231
Provider Name (Legal Business Name): AARON EVAN GEHRING LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 S CAMP MEADE RD STE 4-5
LINTHICUM MD
21090-2766
US

IV. Provider business mailing address

518 S CAMP MEADE RD STE 4
LINTHICUM MD
21090-2766
US

V. Phone/Fax

Practice location:
  • Phone: 443-354-8903
  • Fax: 443-410-0643
Mailing address:
  • Phone: 443-354-8903
  • Fax: 443-410-0643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number26675
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: