Organization
LINDA S GERONILLA PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA S. GERONILLA PH.D. (PRESIDENT)
(304) 342-2260
Entity
Organization
Contact information
Practice address
92 COOK DR, CHARLESTON, WV 25314-1003
(304) 342-2260
(304) 344-4522
Mailing address
92 COOK DR, CHARLESTON, WV 25314-1003
(304) 342-2260
(304) 344-4522
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
385
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163217000
—
WV
Enumeration date
05/18/2006
Last updated
04/20/2008
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