Provider Demographics
NPI:1043720048
Name:LOUDEN-GERBER, GWEN (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:GWEN
Middle Name:
Last Name:LOUDEN-GERBER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 904
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-0904
Mailing Address - Country:US
Mailing Address - Phone:512-809-8378
Mailing Address - Fax:
Practice Address - Street 1:57 S MAIN ST STE 312
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3726
Practice Address - Country:US
Practice Address - Phone:512-524-7436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health