| Doctor Name: | MS. VIVIAN KAREN GERARD |
| NPI Number: | 1386794006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP, LCSWE AND RN |
| License Number: | R0384571 |
| Business Practice Address: | 7 North Erie Street Mayville, NY - 14757 |
| Business Phone Number: | 7167534104 |
| Business Fax Number: | 7167534230 |
| Mailing Address: | 7 North Erie Street, MAYVILLE |
| State: | NY |
| Postal Code: | 14757 |
| Phone Number: | 7167534104 |
| Fax Number: | 7167534230 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | R0384571 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |