Individual
DR. KEVIN PATRICK GEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1140 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 790-1560
(301) 790-1666
Mailing address
1140 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 790-1560
(301) 790-1666
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
02814
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761103000
—
MD
Enumeration date
05/27/2006
Last updated
07/05/2023
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