Provider Demographics
NPI:1740602747
Name:AYRES GERHART, ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:AYRES GERHART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9820 WILLOW CREEK RD
Mailing Address - Street 2:STE 420
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1112
Mailing Address - Country:US
Mailing Address - Phone:858-225-2355
Mailing Address - Fax:
Practice Address - Street 1:9820 WILLOW CREEK RD
Practice Address - Street 2:STE 420
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1112
Practice Address - Country:US
Practice Address - Phone:858-225-2355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-09
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8122103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist