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General NPI Number Information
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NPI Number | 1417878844
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Entity Type | Individual
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Provider Name | ANNA GJERTSEN PSYD., BCB
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 987 OLD EAGLE SCHOOL RD STE 719
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City | WAYNE
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State | PA
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Zip | 19087-1708
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Country | US
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Telephone | 610-971-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 MEETINGHOUSE RD APT V15
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City | UPPER CHICHESTER
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State | PA
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Zip | 19061-2988
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Country | US
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Telephone | 609-947-7324
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State | PA
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