Provider Demographics
NPI:1598193336
Name:GERSH, CLAUDIA (MFT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:GERSH
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 WILSHIRE BLVD
Mailing Address - Street 2:#550
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-2346
Mailing Address - Country:US
Mailing Address - Phone:213-290-1876
Mailing Address - Fax:815-717-7625
Practice Address - Street 1:3130 WILSHIRE BLVD
Practice Address - Street 2:#550
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-2346
Practice Address - Country:US
Practice Address - Phone:213-290-1876
Practice Address - Fax:815-717-7625
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC53072106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist