Provider Demographics
NPI:1467155515
Name:GERHARD, BRIANNE MARIE (LSW)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:MARIE
Last Name:GERHARD
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 YORK ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1472
Mailing Address - Country:US
Mailing Address - Phone:267-760-2966
Mailing Address - Fax:
Practice Address - Street 1:1980 S EASTON RD STE 230
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-7103
Practice Address - Country:US
Practice Address - Phone:888-224-7312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140438104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty