Individual provider · Type 1 NPI

Anthony Edward Gensterblum, PhD

Clinical Psychologist · Jackson, MI

NPI number 1619255635 Active

Practice location

505 Wildwood Ave
Jackson, MI 49201-1012

Fax (517) 783-4504

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301011915 (MI)
Clinical Social Worker 1041C0700X6801060063 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1619255635

Anthony Edward Gensterblum, PhD's National Provider Identifier is 1619255635, issued on Jul 25, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jackson, MI. The record was last updated on Jul 25, 2011.