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NPI Code Detail

MEDICARE: JOANNE GERSTER

MEDICARE: JOANNE GERSTER
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
11041C0700XClinical Social WorkerLCSW-12286AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821207382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE GERSTER
Provider Business Mailing Address
First Line : 2120 S MCCLINTOCK DR STE 105
Second Line :
City : TEMPE
State : AZ
Zip : 85282-2692
Country : US
Telephone Number : 480-804-0326
Fax Number :
Provider Business Practice Location Address
First Line : 11811 N TATUM BLVD STE 3031
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-1621
Country : US
Telephone Number : 480-283-5542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 04/13/2020

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Directions to “ JOANNE GERSTER ” Practice Location

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