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NPI Code Detail

MEDICARE: SARAH GEBHARDT PHD

MEDICARE: SARAH GEBHARDT PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071.0009754IL

General Provider Information

NPI Number : 1598294407
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH GEBHARDT PHD
Provider Business Mailing Address
First Line : 205 N MICHIGAN AVE STE 810
Second Line :
City : CHICAGO
State : IL
Zip : 60601-5902
Country : US
Telephone Number : 616-648-2750
Fax Number :
Provider Business Practice Location Address
First Line : 205 N MICHIGAN AVE STE 810
Second Line :
City : CHICAGO
State : IL
Zip : 60601-5902
Country : US
Telephone Number : 616-648-2750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 02/09/2025

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