Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTHONY EDWARD GENSTERBLUM, PHD
Active Sole ProprietorDR. ANTHONY EDWARD GENSTERBLUM, PHD is a Clinical Psychologist healthcare provider located in JACKSON, Michigan. NPI 1619255635 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · JACKSON, MI
Registration Details
- NPI Number
- 1619255635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2011 (15.073822575227 yrs)
- Last Updated
- Jul 25, 2011
- Licenses
-
6301011915 (MI)6801060063 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 WILDWOOD AVEJACKSON, MI, 492011012Browse MI providers · Browse ZIP 49201
- Phone
- 5177834418
- Fax
- 5177834504
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Psychologist Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MEGAN HUDSON | PHD LP | 1013900901 |
| STEVEN HOWARD PUTNAM | PHD | 1386601920 |
| DR. DAVID MICHAEL RUBIN | PH.D. | 1336157551 |
| DR. BRENT RODERICK SMITH | PSY.D. | 1558475012 |
| DR. EMILY STEWART STEVENS | PSYD, MA | 1689744302 |
| DR. MITCHELL SCOTT WEISBROD | PSY.D. | 1629141007 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.