Provider Demographics
NPI:1609580158
Name:HAMEISTER, GERLANDO LEONARDO
Entity Type:Individual
Prefix:
First Name:GERLANDO
Middle Name:LEONARDO
Last Name:HAMEISTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W PALL MALL ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4532
Mailing Address - Country:US
Mailing Address - Phone:540-514-7164
Mailing Address - Fax:
Practice Address - Street 1:220 CAMPUS BLVD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2888
Practice Address - Country:US
Practice Address - Phone:540-536-8152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health