NPI Profile for TODD GERSON in TUKWILA, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Specialist/Technologist, Other |
246Z00000X |
| NPI Number | 1568868941 |
|
| Status | Active | |
| Credentials | MSW, LMHC, LAICSW | |
| Entity | Individual | |
| Enumeration date | 11/12/2014 | |
| Last updated | 12/11/2019 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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