Gerson, Alexandra C

Gerson, Alexandra C is an sole proprietor health care provider with primary practice located at 144 South Main Street , Hardwick VT 05843. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gerson, Alexandra C can be contacted via phone (802) 472-3151.

Contact Information

Primary practice address
144 South Main Street Hardwick VT 05843
Phone: (802) 472-3151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000083 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000636 Vermont
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000907 Vermont

Profile Details

NPI number 1861550220
LBN Legal business name Gerson, Alexandra C
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Aug 29th, 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 1861550220 NPPES
Vermont Other 00068856 BCBS PROVIDER ID #
Vermont MEDICAID 1010328 BCBS PROVIDER ID #

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