Healthcare Provider Details

I. General information

NPI: 1942831920
Provider Name (Legal Business Name): EVIE J GERBER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S CENTERVILLE RD
LANCASTER PA
17603-9733
US

IV. Provider business mailing address

175 S CENTERVILLE RD
LANCASTER PA
17603-9733
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-7300
  • Fax: 717-544-1646
Mailing address:
  • Phone: 717-544-7300
  • Fax: 717-544-1646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS017983
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: