| NPI | 1366133092 |
|---|---|
| Professional Name | CHUCK GEDDES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ PSY-005529) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |