Lauri Gebhard

NPI #1104012244 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1104012244
Entity Type: Organization
Organization Name: Lauri Gebhard
Subpart: Yes (part of a larger organization)
Parent Organization: LAURI GEBHARD
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 22, 2007
Last Updated: Sep 22, 2007

Practice Location

Address: 10855 W POTTER RD
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-3439
Phone: (414) 407-6664

Authorized Official

Name: DR. LAURI CHRISTINE GEBHARD, PH.D
Title: PSYCHOLOGIST, DIRECTOR
Phone: (414) 407-6664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Health — Health	103TH0004X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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