Individual
DR. SUSAN GREENWELL GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
28208 STATE ROAD 1, WEST HARRISON, IN 47060-9686
(812) 576-1600
(812) 576-1602
Mailing address
6003 TAYLOR RIDGE DR, WEST CHESTER, OH 45069-1988
(513) 777-9588
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0826
KY
103T00000X
Psychologist
Primary
20042311A
IN
103T00000X
Psychologist
4730
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003586
ANTHEM
OH
01
—
183465000
MAGELLAN
OH
Enumeration date
01/27/2007
Last updated
05/28/2009
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