Individual
GEORGE GEYSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
18 SCHOOL ST STE 3, CHANGEPOINT, LLC, GLASTONBURY, CT 06033-4552
(860) 633-0703
(860) 633-1741
Mailing address
18 SCHOOL ST STE 3, CHANGEPOINT, LLC, GLASTONBURY, CT 06033-4552
(860) 633-0703
(860) 633-1741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004230885
—
CT
Enumeration date
01/12/2006
Last updated
06/25/2008
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