JUDITH S. GEIZHALS, PH.D.,P.C.
Ambulatory Health at Middle Neck Rd, Port Washington, NY

License number
New York 006961-1
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. JUDITH S GEIZHALS PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (516) 883-6282
Address
Address
114 Middle Neck Rd, Port Washington, NY 11050
National Provider ID: 1114233483
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JUDITH S. GEIZHALS, PH.D., PSYCHOLOGIST, PC

Port Washington, NY  -  Great Neck, NY  -  Seattle, WA

Status:
Inactive
Industry:
Health Practitioner's Office, Nonclassifiable Establishments
Doing business as:
Judith S. Geizhals, PH.D., PC
Registration:
Sep 23, 2005
Addresses:
114 Middleneck Rd, Port Washington, NY 11050 (Physical)
8 Barstow Rd, Great Neck, NY 11021
1545 NW Market St, Seattle, WA 98107
State ID:
3260175
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chief Executive Officer, Clinical Psychologist, Phds:
Judith S Geizhals, Ph.d, 114 Middleneck Rd, Port Washington, NY 11050 (Physical),Judith S. Geizhals Chief Executive Officer, Clinical Psychologist, Phd, inactive
Agent:
C/O Judith S Geizhals, Ph.d,114 Middle Nck Rd, Port Washington, NY 11050 (Physical)

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