Geneva, Kathryn J

Geneva, Kathryn J is an sole proprietor health care provider with primary practice located at 233 12Th St Suite 804, Columbus GA 31901-2462. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Geneva, Kathryn J can be contacted via phone (706) 322-0265.

Contact Information

Primary practice address
233 12Th St Suite 804 Columbus GA 31901-2462
Fax: (706) 322-0266
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 002694 Georgia

Profile Details

NPI number 1174607329
LBN Legal business name Geneva, Kathryn J
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Mar 24th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174607329 NPPES
Georgia MEDICAID 319109573C

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