Provider Demographics
NPI:1407304553
Name:GESKE, SAVANNAH JOY (PHD)
Entity Type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:JOY
Last Name:GESKE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1635 S DON ROSER DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4550
Mailing Address - Country:US
Mailing Address - Phone:816-932-4576
Mailing Address - Fax:816-932-5793
Practice Address - Street 1:4321 WASHINGTON ST
Practice Address - Street 2:SUITE 4000
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5961
Practice Address - Country:US
Practice Address - Phone:816-932-4576
Practice Address - Fax:816-932-5793
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016034032103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical