Provider Demographics
NPI:1568652071
Name:GEIPERT, NADJA INGEBORG (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:NADJA
Middle Name:INGEBORG
Last Name:GEIPERT
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 WILSHIRE BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3203
Mailing Address - Country:US
Mailing Address - Phone:310-601-6071
Mailing Address - Fax:
Practice Address - Street 1:9300 WILSHIRE BLVD STE 320
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3203
Practice Address - Country:US
Practice Address - Phone:310-601-6071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48544106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist