| Doctor Name: | DR. LAURI CHRISTINE GEBHARD |
| NPI Number: | 1538276720 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | WI2028 |
| Business Practice Address: | 15300 Watertown Plank Rd Ste 106 Elm Grove, WI - 531222348 |
| Business Phone Number: | 4148078934 |
| Business Fax Number: | 4143021330 |
| Mailing Address: | 15300 Watertown Plank Rd Ste 106, ELM GROVE |
| State: | WI |
| Postal Code: | 531222348 |
| Phone Number: | 4148078934 |
| Fax Number: | 4143021330 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 07/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | WI2028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |