Provider Demographics
NPI:1205944527
Name:KINZLER, GERARD PAUL (LCSW)
Entity type:Individual
Prefix:MR
First Name:GERARD
Middle Name:PAUL
Last Name:KINZLER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2256 WINTER WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1955
Mailing Address - Country:US
Mailing Address - Phone:407-740-7105
Mailing Address - Fax:407-740-0372
Practice Address - Street 1:2256 WINTER WOODS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1955
Practice Address - Country:US
Practice Address - Phone:407-740-7105
Practice Address - Fax:407-740-0372
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 0186101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health