Provider Demographics
NPI:1598230179
Name:GEHRKE, DINA (MS)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:GEHRKE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:LOBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:12652 CASTLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-4177
Mailing Address - Country:US
Mailing Address - Phone:813-509-6868
Mailing Address - Fax:
Practice Address - Street 1:517 DELTONA BLVD STE A
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-8016
Practice Address - Country:US
Practice Address - Phone:813-509-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor