Provider Demographics
NPI:1710198932
Name:GERBITZ, ROYCE MARTIN (BA)
Entity type:Individual
Prefix:MR
First Name:ROYCE
Middle Name:MARTIN
Last Name:GERBITZ
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 POZE BLVD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4651
Mailing Address - Country:US
Mailing Address - Phone:303-824-3875
Mailing Address - Fax:
Practice Address - Street 1:621 W 96TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-5469
Practice Address - Country:US
Practice Address - Phone:303-427-1386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor