Provider Demographics
NPI:1518142629
Name:DENLINGER, GERALD LEE
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:LEE
Last Name:DENLINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JERE
Other - Middle Name:
Other - Last Name:DENLINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2227 OLD EMMORTON RD
Mailing Address - Street 2:119
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6187
Mailing Address - Country:US
Mailing Address - Phone:410-893-4600
Mailing Address - Fax:410-569-0094
Practice Address - Street 1:2227 OLD EMMORTON RD
Practice Address - Street 2:119
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6187
Practice Address - Country:US
Practice Address - Phone:410-893-4600
Practice Address - Fax:410-569-0094
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional