Healthcare Provider Details

I. General information

NPI: 1174712533
Provider Name (Legal Business Name): AARON GERBER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 JENKINS CT STE 200
DURHAM NH
03824-2324
US

IV. Provider business mailing address

45 PORTLAND RD STE 7 #1036
KENNEBUNK ME
04043-6660
US

V. Phone/Fax

Practice location:
  • Phone: 617-819-0914
  • Fax:
Mailing address:
  • Phone: 207-370-7005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: