Individual
DR. GERALYN DATZ
Active
Individual
DR. GERALYN DATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1140
LA
103TC0700X
Clinical Psychologist
45736
MS
103TH0004X
Health Psychologist
1140
LA
103TH0004X
Health Psychologist
Primary
45-736
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933077
—
AL
05
—
06036275
—
MS
Enumeration date
08/16/2006
Last updated
08/14/2026
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