MEDICARE: HOPE GERSOVITZ LPC

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
1	101Y00000X	Counselor	2811	LA
2	106H00000X	Marriage & Family Therapist	756	LA

General Provider Information

NPI Number	:	1699865410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE GERSOVITZ LPC

Provider Business Mailing Address
First Line	:	4038 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6021
Country	:	US
Telephone Number	:	504-669-1980
Fax Number	:	888-959-6762

Provider Business Practice Location Address
First Line	:	4038 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6021
Country	:	US
Telephone Number	:	504-669-1980
Fax Number	:	888-959-6762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	08/19/2014

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