Provider Demographics
NPI:1184814865
Name:LENHART, GERRY ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:GERRY
Middle Name:ANNE
Last Name:LENHART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 N SAN MATEO DR
Mailing Address - Street 2:#7
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2885
Mailing Address - Country:US
Mailing Address - Phone:650-343-0945
Mailing Address - Fax:650-342-8166
Practice Address - Street 1:39 N SAN MATEO DR
Practice Address - Street 2:#7
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2885
Practice Address - Country:US
Practice Address - Phone:650-343-0945
Practice Address - Fax:650-342-8166
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18914103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical