Individual
JENNIFER GEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 MEADOW LARK, CONVERSE, TX 78109-2614
(781) 985-4408
Mailing address
10120 MEADOW LARK, CONVERSE, TX 78109
(781) 985-4408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5271
TX
2355S0801X
Speech-Language Assistant
39913
TX
Other
Enumeration date
10/30/2017
Last updated
07/05/2023
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