Lauri Gebhard

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2028 Issued in WI

Legal business name

LAURI GEBHARD

Practice address

10855 W Potter Rd
Wauwatosa, WI 53226-3439

Phone

(414) 407-6664

Fax

(414) 302-1330

NPI assigned

Sep 22, 2007

Organization subpart

Yes

Parent organization

LAURI GEBHARDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lauri Christine Gebhard, PH.D

Title

Psychologist, Director

Phone

(414) 407-6664

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• mind-body program Doing business as

Part of

Lauri Gebhard

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190419200000",
    "number": "1104012244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 W POTTER RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263439",
            "telephone_number": "414-407-6664",
            "fax_number": "414-302-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 W POTTER RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263439",
            "telephone_number": "414-407-6664",
            "fax_number": "414-302-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURI GEBHARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAURI GEBHARD",
        "enumeration_date": "2007-09-22",
        "last_updated": "2007-09-22",
        "status": "A",
        "authorized_official_last_name": "GEBHARD",
        "authorized_official_first_name": "LAURI",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, DIRECTOR",
        "authorized_official_telephone_number": "414-407-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2028",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WI",
            "license": "2028",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2028",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "WI",
            "license": "2028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39121000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mind-body program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Lasse
• David Robert Laste, D.D.S.
• Kaye Price Laud, PH.D.
• Kristen Ann Lauder, LCSW
• Lauren Cook Speech & Language
• Jenna Laursen, MA, CF-SLP
• Carrie Lausterer, NP, RN
• Sarah Lauterbach, M.ED, BCBA
• Nina Lautz, DPT
• Jeffrey J Lauzon, PHD

• Clinical Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.