Provider Demographics
NPI:1912108473
Name:GERBASI, JOAN BARBARA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:BARBARA
Last Name:GERBASI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 E ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4132
Mailing Address - Country:US
Mailing Address - Phone:530-753-4636
Mailing Address - Fax:530-753-4655
Practice Address - Street 1:423 E ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4132
Practice Address - Country:US
Practice Address - Phone:530-753-4636
Practice Address - Fax:530-753-4655
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA646642084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry