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Contact Information

GERIATRIC PSYCHIATRIC SERVICES PLLC
1715 INDIAN WOOD CIR STE 200
MAUMEE, OH43537-4055
 Phone: 877-906-9699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GERIATRIC PSYCHIATRIC SERVICES PLLC · (Female)

NPI # 1467492173
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2006
Last updated 07/01/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 260F340040 BCBS PHYSICIAN GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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