Gerber, Judith Rae

Gerber, Judith Rae is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gerber, Judith Rae can be contacted via phone (802) 847-1400.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000762 Vermont
Behavioral Health & Social Service Providers / Health Service 103TH0100X 048-0000762 Vermont
Behavioral Health & Social Service Providers / Psychologist 103T00000X 048-0000762 Vermont

Profile Details

NPI number 1659387363
LBN Legal business name Gerber, Judith Rae
Credentials PHD.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659387363 NPPES
Vermont MEDICAID 1006547

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