| Doctor Name: | GERALDINE M HUMPHREY |
| NPI Number: | 1578530028 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD LPC |
| License Number: | E0001783 |
| Business Practice Address: | 6046 Whipple Ave Nw North Canton, OH - 44720 |
| Business Phone Number: | 3304331200 |
| Business Fax Number: | 3303055047 |
| Mailing Address: | 6046 Whipple Avenue Nw, NORTH CANTON |
| State: | OH |
| Postal Code: | 44720 |
| Phone Number: | 3304331400 |
| Fax Number: | 3303055047 |
| NPI Enumeration Date: | 03/03/2006 |
| NPI Last Update Date: | 09/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | E0001783 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |