Geysen, George
Geysen, George is an sole proprietor health care provider with primary practice located at 18 School St Ste 3 Changepoint, Llc, Glastonbury CT 06033-4552. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Geysen, George can be contacted via phone (860) 633-0703.Contact Information
Primary practice address
18 School St Ste 3 Changepoint, Llc
Glastonbury CT 06033-4552
Phone: (860) 633-0703
Fax: (860) 633-1741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1174502686 |
|---|---|
| LBN Legal business name | Geysen, George |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jun 25th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174502686 | NPPES |
| Connecticut | MEDICAID | 004230885 |
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