Provider Demographics
NPI:1437174695
Name:GEIERMANN, HILDA K (MFT)
Entity Type:Individual
Prefix:MRS
First Name:HILDA
Middle Name:K
Last Name:GEIERMANN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3587
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92085-3587
Mailing Address - Country:US
Mailing Address - Phone:760-729-1978
Mailing Address - Fax:760-761-8891
Practice Address - Street 1:2558 ROOSEVELT ST,
Practice Address - Street 2:STE 208
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008
Practice Address - Country:US
Practice Address - Phone:760-729-1978
Practice Address - Fax:760-751-8891
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31267106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist