Individual
DR. SUSAN D GIEROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1800 S AUSTRALIAN AVE, SUITE 205, WEST PALM BEACH, FL 33409-6450
(561) 317-9955
(561) 689-0806
Mailing address
1800 S AUSTRALIAN AVE, SUITE 205, WEST PALM BEACH, FL 33409-6450
(561) 317-9955
(561) 689-0806
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1334
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051527334
BLUE CROSS PROVIDER NUMBE
AL
01
—
051555700
MEDICARE PROVIDER NUMBER
AL
Enumeration date
11/07/2007
Last updated
07/25/2008
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