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RICHARD GELB PHD ABPN PC

Clinical Neuropsychologist

Taylor, Michigan

Provider NPI: 1609884550

Organization Information:
Organization Name:  RICHARD GELB PHD ABPN PC
Organization is not Subpart
Authorized Official:  RICHARD  GELB  PRES OF RICHARD GELB PHD ABPN PC  734-3248930

Practice Location:
20500 EUREKA ROAD SUITE 315 TAYLOR, MI 48180 US
Tel: 734-324-8930  Fax: 734-324-8931

Business Mailing Address:
20500 EUREKA ROAD SUITE 315 TAYLOR, MI 48180 US
Tel: 734-324-8930  Fax: 734-324-8931

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI6301005856
X103T00000XBehavioral Health & Social Service Providers
Psychologist
MI6301005856

Other Provider Identifiers:

IssuerNumberStateType
BLUE CARE NETWORK OF MI038909MI01
CIGNA BEH202260801
VALUE OPTIONS03890901
BLUE CROSS BLUE SHIELD MIOH230440MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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