| Doctor Name: | KATHLEEN GEHL |
| NPI Number: | 1043384746 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, NP |
| License Number: | 2085-057 |
| Business Practice Address: | 13965 W Burleigh Rd Brookfield, WI - 530053064 |
| Business Phone Number: | 2627856002 |
| Business Fax Number: | 2627852773 |
| Mailing Address: | N87w16462 Jacobson Dr, MENOMONEE FALLS |
| State: | WI |
| Postal Code: | 530512833 |
| Phone Number: | 2622551040 |
| Fax Number: | 2622554090 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2085-057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |