Surette, Gerald

Surette, Gerald is an individual health care provider with primary practice located at 1440 Russell Rd , Paoli PA 19301-1236. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Surette, Gerald can be contacted via phone (610) 644-6464.

Contact Information

Primary practice address
1440 Russell Rd Paoli PA 19301-1236
Phone: (610) 644-6464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37FI00062300 New Jersey

Profile Details

NPI number 1588766372
LBN Legal business name Surette, Gerald
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1588766372 NPPES
Pennsylvania Other 7122088 AETNA
Pennsylvania Other 0554338000 AETNA

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