| Kathryn J. Geneva, Psyd, P.c. | |
|
233 12th St Suite 804 Columbus GA 31901-2462 | |
| (706) 322-0265 | |
| (706) 322-0266 |
| Full Name | Kathryn J. Geneva, Psyd, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 233 12th St, Columbus, Georgia |
| Authorized Official Name and Position | Kathryn J Geneva (PREISDENT/ PSYCHOLOGIST) |
| Authorized Official Contact | 7063220265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn J. Geneva, Psyd, P.c. 233 12th St Suite 804 Columbus GA 31901-2462 Ph: (706) 322-0265 | Kathryn J. Geneva, Psyd, P.c. 233 12th St Suite 804 Columbus GA 31901-2462 Ph: (706) 322-0265 |
| NPI Number | 1376878082 |
|---|---|
| Provider Enumeration Date | 10/14/2009 |
| Last Update Date | 10/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376878082 | NPI | - | NPPES |
| 319109573C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002694 (Georgia) | Primary |
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