Gerrol, Felicia Glenn

Gerrol, Felicia Glenn is an sole proprietor health care provider with primary practice located at 1 Rosemary Dr , Dover NH 03820-2700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gerrol, Felicia Glenn can be contacted via phone (518) 221-8518.

Contact Information

Primary practice address
1 Rosemary Dr Dover NH 03820-2700
Phone: (518) 221-8518
Fax: (518) 453-2326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011469 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11469 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 011469 New York

Profile Details

NPI number 1235227612
LBN Legal business name Gerrol, Felicia Glenn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 12th, 2023 - about 3 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 1235227612 NPPES
New York MEDICAID 01938485

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