Pam W. Gershon in Jericho - Clinical Child & Adolescent
Pam W. Gershon - NPI 1922204080
Pam W. Gershon is a Clinical Child & Adolescent in Jericho, New York. Pam W. Gershon practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Pam W. Gershon is 1922204080. The last update date is 2007-07-08.
Pam W. Gershon's current location address is 11 Fall Ln, Jericho, New York. You can contact this provider via phone number 5168226868. The mailing address for Pam W. Gershon is 11 Fall Ln, Jericho, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pam W. Gershon |
|---|---|
| Address | 11 Fall Ln, Jericho, New York |
| Phone Number | 5168226868 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1922204080 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11 Fall Ln |
|---|---|
| City | Jericho |
| State | New York (NY) |
| Post Code | 117532311 |
| Phone Number | 5168226868 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 013248-1 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pam W. Gershon by the Centers for Medicare & Medicaid Services?
The Pam W. Gershon has been issued the NPI (National Provider Identifier) 1922204080 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Pam W. Gershon is physically located?
The Pam W. Gershon is situated at the following address: 11 Fall Ln, Jericho, NY 117532311.
What is the Pam W. Gershon's specialty and taxonomy code?
The Pam W. Gershon's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Pam W. Gershon receive the assignment of its 1922204080 from the Centers for Medicare & Medicaid Services?
The Pam W. Gershon was issued its 1922204080 by the Centers for Medicare & Medicaid Services on 2007-06-25.
As of what date were the details related to Pam W. Gershon most recently updated or revised?
The information pertaining to Pam W. Gershon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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