| Felicia Glenn Gerrol, Ph.d., Inc | |
|
1 Rosemary Dr Dover NH 03820-2700 | |
| (518) 221-8518 | |
| (518) 453-2326 |
| Full Name | Felicia Glenn Gerrol, Ph.d., Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1 Rosemary Dr, Dover, New Hampshire |
| Authorized Official Name and Position | Felicia Glenn Gerrol (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5182218518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Felicia Glenn Gerrol, Ph.d., Inc 1 Rosemary Dr Dover NH 03820-2700 Ph: (518) 221-8518 | Felicia Glenn Gerrol, Ph.d., Inc 1 Rosemary Dr Dover NH 03820-2700 Ph: (518) 221-8518 |
| NPI Number | 1447772033 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 2769723592 |
|---|---|
| Medicare Enrollment ID | O20231023000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447772033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 011469 (New York) | Primary |
| Provider Name | Felicia Glenn Gerrol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235227612 PECOS PAC ID: 3971765454 Enrollment ID: I20231023001073 |
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