Doctor Name: | DR. DIANA ROBIN GERHART |
NPI Number: | 1558406322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 0810001682 |
Business Practice Address: | 34969 Charles Town Pike Purcellville, VA - 201321800 |
Business Phone Number: | 7037278738 |
Business Fax Number: | |
Mailing Address: | 34969 Charles Town Pike, PURCELLVILLE |
State: | VA |
Postal Code: | 201321800 |
Phone Number: | 5406686697 |
Fax Number: | 5406680463 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810001682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |