Provider Demographics
NPI:1609445055
Name:GEMADA, BARITE
Entity Type:Individual
Prefix:
First Name:BARITE
Middle Name:
Last Name:GEMADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7203 PERRY CT E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-1202
Mailing Address - Country:US
Mailing Address - Phone:612-276-2191
Mailing Address - Fax:
Practice Address - Street 1:7203 PERRY CT E
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-1202
Practice Address - Country:US
Practice Address - Phone:612-276-2191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical