| Organization Name: | GERIPSYCH SERVICES PLLC |
| NPI Number: | 1376815613 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINA M HAGAR (OWNER/MANAGER) |
| Mailing Address: | 611 Old Us Hwy 70 E Black Mountain |
| State: | NC US |
| Postal Code: | 287119488 |
| Phone Number: | 8286657062 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2012 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |