| Linda S Geronilla Phd Inc | |
|
92 Cook Dr Charleston WV 25314-1003 | |
| (304) 342-2260 | |
| (304) 344-4522 |
| Full Name | Linda S Geronilla Phd Inc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 92 Cook Dr, Charleston, West Virginia |
| Authorized Official Name and Position | Linda S. Geronilla (PRESIDENT) |
| Authorized Official Contact | 3043422260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda S Geronilla Phd Inc 92 Cook Dr Charleston WV 25314-1003 Ph: (304) 342-2260 | Linda S Geronilla Phd Inc 92 Cook Dr Charleston WV 25314-1003 Ph: (304) 342-2260 |
| NPI Number | 1043263635 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043263635 | NPI | - | NPPES |
| 0163217000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 385 (West Virginia) | Primary |
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