Doctor Name: | DR. ROBERT HENRY GEERTSMA |
NPI Number: | 1033152483 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 12551 |
Business Practice Address: | 993 Governor Dr El Dorado Hills, CA - 957624231 |
Business Phone Number: | 9169411499 |
Business Fax Number: | 9169411403 |
Mailing Address: | 3734 Malachite Way, RESCUE |
State: | CA |
Postal Code: | 956729497 |
Phone Number: | 9169411499 |
Fax Number: | 9169411403 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 12551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |