| Doctor Name: | PAMELA PATRICIA GERDES |
| NPI Number: | 1073836441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I0900254 |
| Business Practice Address: | 7577 Central Parke Blvd Mason, OH - 450406810 |
| Business Phone Number: | 5137703231 |
| Business Fax Number: | 5137705541 |
| Mailing Address: | 6583 Carriage Hill Ln, CINCINNATI |
| State: | OH |
| Postal Code: | 452432450 |
| Phone Number: | 5136594852 |
| Fax Number: | 5134512407 |
| NPI Enumeration Date: | 03/12/2010 |
| NPI Last Update Date: | 03/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0900254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |