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NPI Code Detail

MEDICARE: DR. ROBERT RAYMOND GERL D. MIN., PH.D.

MEDICARE:  DR. ROBERT RAYMOND GERL  D. MIN., PH.D.
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
1101YS0200XSchool Counselor6401000662MI
2103G00000XClinical Neuropsychologist6301013084MI
3103TA0400XAddiction (Substance Use Disorder) Psychologist6301013084MI
4103TB0200XCognitive & Behavioral Psychologist6301013084MI
5103TC0700XClinical Psychologist6301013084MI
6103TC2200XClinical Child & Adolescent Psychologist6301013084MI
7103TM1800XIntellectual & Developmental Disabilities Psychologist6301013084MI
8103TP2701XGroup Psychotherapy Psychologist6301013084MI
9103TS0200XSchool Psychologist725698IN
10103TS0200XSchool Psychologist102165MI
111041C0700XClinical Social Worker6801058142MI
12106H00000XMarriage & Family Therapist4101005461MI
13103T00000XPsychologist6301013084MI

General Provider Information

NPI Number : 1831169861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT RAYMOND GERL D. MIN., PH.D.
Provider Business Mailing Address
First Line : 1538 EVANSTON AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1724
Country : US
Telephone Number : 269-383-2151
Fax Number :
Provider Business Practice Location Address
First Line : 2019 RAMBLING RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1630
Country : US
Telephone Number : 269-345-0909
Fax Number : 269-345-4985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 07/19/2021

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