NPI Profile for ROBERT P GERNENZ JR in HALEIWA, HI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Behavior Analyst |
103K00000X |
| NPI # | 1225530058 |
|
| Status | Active | |
| Credentials | LMHC (Licensed Mental Health Counselor) | |
| Entity | Individual | |
| Enumeration date | 03/07/2018 | |
| Last updated | 09/09/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROBERT P GERNENZ JR
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