Doctor Name: | DR. SHIRLEY CECILE GELLER |
NPI Number: | 1023074515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY 5476 |
Business Practice Address: | 4230 W National Ave Burbank, CA - 915054020 |
Business Phone Number: | 8188411055 |
Business Fax Number: | 8188415645 |
Mailing Address: | 4230 W National Ave, BURBANK |
State: | CA |
Postal Code: | 915054020 |
Phone Number: | 8188411055 |
Fax Number: | 8188415645 |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 5476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |