Individual
DR. LISSA JOY GEIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 SHIELDS AVE, CAPS 219 NORTH HALL, DAVIS, CA 95616-5270
(530) 752-9923
(530) 752-9923
Mailing address
739 DINGLE LN, WOODLAND, CA 95695-3963
(541) 335-1095
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
24551
CA
Other
Enumeration date
08/13/2010
Last updated
09/22/2011
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