Provider Demographics
NPI:1578911343
Name:GERIPSYCH NP CONSULTANTS LLC
Entity Type:Organization
Organization Name:GERIPSYCH NP CONSULTANTS LLC
Other - Org Name:LINDA ROEMER PH.D NP-C
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD NP-C
Authorized Official - Phone:850-896-1387
Mailing Address - Street 1:PO BOX 3635
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-2561
Mailing Address - Country:US
Mailing Address - Phone:850-896-1387
Mailing Address - Fax:928-282-3910
Practice Address - Street 1:2030 W STATE ROUTE 89A STE B2A
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5593
Practice Address - Country:US
Practice Address - Phone:850-896-1387
Practice Address - Fax:928-282-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty