Organization
KATHRYN J. GENEVA, PSYD, P.C.
Active
Organization
KATHRYN J. GENEVA, PSYD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN J GENEVA PSYD (PREISDENT/ PSYCHOLOGIST)
(706) 322-0265
Entity
Organization
Contact information
Practice address
233 12TH ST, SUITE 804, COLUMBUS, GA 31901-2462
(706) 322-0265
(706) 322-0266
Mailing address
233 12TH ST, SUITE 804, COLUMBUS, GA 31901-2462
(706) 322-0265
(706) 322-0266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319109573C
—
GA
Enumeration date
10/14/2009
Last updated
10/14/2009
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