NPI | 1295804284 |
---|---|
Former Name | GERALDINE PAYNE SEASTRUNK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 9794) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 9794) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2007-07-08 |