Individual
CARL GESCHEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 CRESTON RD APT C, PASO ROBLES, CA 93446-2734
(805) 709-0548
Mailing address
625 CRESTON RD APT C, PASO ROBLES, CA 93446-2734
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41653
CA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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