Provider Demographics
NPI:1932093119
Name:GERSTL, TEMIMA TOVA (SLP-CF)
Entity type:Individual
Prefix:
First Name:TEMIMA
Middle Name:TOVA
Last Name:GERSTL
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8508 16TH ST APT 303
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5927
Mailing Address - Country:US
Mailing Address - Phone:401-935-6312
Mailing Address - Fax:
Practice Address - Street 1:9250 N LAUREL RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1660
Practice Address - Country:US
Practice Address - Phone:410-880-5960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03065L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist