Provider Demographics
NPI:1821386301
Name:GERSHNER, DEBRAH (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:DEBRAH
Middle Name:
Last Name:GERSHNER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 OVATION CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1535
Mailing Address - Country:US
Mailing Address - Phone:914-831-5813
Mailing Address - Fax:
Practice Address - Street 1:40 OVATION CT
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1535
Practice Address - Country:US
Practice Address - Phone:914-831-5813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2293518103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst