| Doctor Name: | DR. ALEXANDRA C GERSON |
| NPI Number: | 1861550220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 000083 |
| Business Practice Address: | 144 South Main Street Hardwick, VT - 05843 |
| Business Phone Number: | 8024723151 |
| Business Fax Number: | |
| Mailing Address: | Po Box 297, HARDWICK |
| State: | VT |
| Postal Code: | 058430297 |
| Phone Number: | 8024723151 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000083 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |