Provider Demographics
NPI:1821735234
Name:GERSON, REBECCA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GERSON
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12863 HAVERTON DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6236
Mailing Address - Country:US
Mailing Address - Phone:310-560-6850
Mailing Address - Fax:
Practice Address - Street 1:12863 HAVERTON DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6236
Practice Address - Country:US
Practice Address - Phone:310-560-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula