Provider Demographics
NPI:1144899766
Name:SHRIER, GIDEON (LCPC, LPC)
Entity type:Individual
Prefix:
First Name:GIDEON
Middle Name:
Last Name:SHRIER
Suffix:
Gender:M
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 FALLS RD APT 12
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-1603
Mailing Address - Country:US
Mailing Address - Phone:240-505-0090
Mailing Address - Fax:
Practice Address - Street 1:2401 LIBERTY HEIGHTS AVE STE 4670
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-8032
Practice Address - Country:US
Practice Address - Phone:240-476-0538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional