Organization
DR. JUDITH SUSAN GEIZHALS PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH SUSAN GEIZHALS PHD (PRINCIPAL)
(516) 883-6282
Entity
Organization
Contact information
Practice address
114 MIDDLE NECK RD, PORT WASHINGTON, NY 11050-1933
(516) 883-6282
Mailing address
114 MIDDLE NECK RD, PORT WASHINGTON, NY 11050-1933
(516) 883-6282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0069611
NY
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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