Individual
DR. GERALDO DA COSTA LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
130640
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100392350
—
KY
Enumeration date
02/23/2007
Last updated
09/19/2023
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