Doctor Name: | ATHINA GEORGIOU |
NPI Number: | 1083800940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 555 School St Pittsburg, CA - 945653937 |
Business Phone Number: | 9254324118 |
Business Fax Number: | 9254326799 |
Mailing Address: | 555 School St, PITTSBURG |
State: | CA |
Postal Code: | 945653937 |
Phone Number: | 9254324118 |
Fax Number: | 9254326799 |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 09/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |