Gerald Surette in Paoli - Marriage & Family Therapist
Gerald Surette - NPI 1588766372
Gerald Surette is a Marriage & Family Therapist in Paoli, Pennsylvania. Gerald Surette practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gerald Surette is 1588766372. The last update date is 2007-07-08.
Gerald Surette's current location address is 1440 Russell Rd, Paoli, Pennsylvania. You can contact this provider via phone number 6106446464. The mailing address for Gerald Surette is 1440 Russell Rd, Paoli, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Surette |
|---|---|
| Address | 1440 Russell Rd, Paoli, Pennsylvania |
| Phone Number | 6106446464 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1588766372 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1440 Russell Rd |
|---|---|
| City | Paoli |
| State | Pennsylvania (PA) |
| Post Code | 193011236 |
| Phone Number | 6106446464 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 37FI00062300 |
|
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7122088 | PA | AETNA | |
| 554338000 | PA | IBC |
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What is the unique identifier code issued to Gerald Surette by the Centers for Medicare & Medicaid Services (CMS)?
The Gerald Surette has been assigned the NPI (National Provider Identifier) 1588766372. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gerald Surette located?
The Gerald Surette is located at 1440 Russell Rd, Paoli, PA 193011236.
What is Gerald Surette's area of expertise and its corresponding taxonomy classification?
The Gerald Surette's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588766372 to Gerald Surette?
The Centers for Medicare & Medicaid Services originally issued the 1588766372 to Gerald Surette on 2006-09-02.
As of what date were the details related to Gerald Surette most recently updated or revised?
The information pertaining to Gerald Surette, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.