Provider Demographics
NPI:1871684449
Name:HEMING, GERTRUDE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:GERTRUDE
Middle Name:ANN
Last Name:HEMING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:TRUDIE
Other - Middle Name:ANN
Other - Last Name:HEMING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:830 MENLO AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025
Mailing Address - Country:US
Mailing Address - Phone:650-829-5325
Mailing Address - Fax:650-701-0403
Practice Address - Street 1:830 MENLO AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4751
Practice Address - Country:US
Practice Address - Phone:650-829-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10117103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PL101170Medicare PIN