| Doctor Name: | DR. GERALD THOMAS MEHALICK |
| NPI Number: | 1689791097 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | C2-0005837 |
| Business Practice Address: | 500 West 10th St Connections Community Support Programs, Inc. Wilmington, DE - 19801 |
| Business Phone Number: | 3023283330 |
| Business Fax Number: | 3023289336 |
| Mailing Address: | 500 West 10th St, Connections Community Support Programs, Inc. WILMINGTON |
| State: | DE |
| Postal Code: | 19801 |
| Phone Number: | 6105445485 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | C2-0005837 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |