| NPI | 1265473276 |
|---|---|
| Other Name | GARY ROY GEFFKEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3729) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY3729) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-04-07 |