Doctor Name: | MS. REGINA LEE GERSTMAN |
NPI Number: | 1598851370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW,PH.D. |
License Number: | 0904004728 |
Business Practice Address: | Us Route 17 Abingdon Office Park Suite 10 Hayes, VA - 230721128 |
Business Phone Number: | 8046423414 |
Business Fax Number: | 8046423632 |
Mailing Address: | 12725 Mcmanus Blvd, Bldg 2 Suite G NEWPORT NEWS |
State: | VA |
Postal Code: | 236024402 |
Phone Number: | 7578741676 |
Fax Number: | 7578742226 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904004728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |