Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1114167236 |
---|---|
Provider Name | Emily Bliss Gerber |
First Address | San Francisco, CA 94103-2652 |
Second Address | San Francisco, CA 94103-2652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 03/01/2022 |