Kizerian, Gerald D

Kizerian, Gerald D is an sole proprietor health care provider with primary practice located at 5866 S Staples St Ste 320, Corpus Christi TX 78413-3700. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kizerian, Gerald D can be contacted via phone (361) 991-4101.

Contact Information

Primary practice address
5866 S Staples St Ste 320 Corpus Christi TX 78413-3700
Phone: (361) 991-4101
Fax: (361) 991-4102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2968 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 002808 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X S00483 Texas

Profile Details

NPI number 1245348002
LBN Legal business name Kizerian, Gerald D
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Sep 27th, 2021 - about 5 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 1245348002 NPPES
Texas MEDICAID 095310101
Texas Other 00S49J

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