Provider Demographics
NPI:1063204170
Name:GINGERICH, SUMMER DEE
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:DEE
Last Name:GINGERICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:DE
Mailing Address - Zip Code:19950-0685
Mailing Address - Country:US
Mailing Address - Phone:302-500-1105
Mailing Address - Fax:
Practice Address - Street 1:7 W MARKET ST APT C
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:DE
Practice Address - Zip Code:19950-7727
Practice Address - Country:US
Practice Address - Phone:302-500-1105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician