Phillips, Geralyn Marie

Phillips, Geralyn Marie is an individual health care provider with primary practice located at 8439 White Oak Ave #104, Rancho Cucamonga CA 91730-3860. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips, Geralyn Marie can be contacted via phone (909) 466-7624.

Contact Information

Primary practice address
8439 White Oak Ave #104 Rancho Cucamonga CA 91730-3860
Phone: (909) 466-7624
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 17167 California

Profile Details

NPI number 1265405195
LBN Legal business name Phillips, Geralyn Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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