Provider Demographics
NPI:1770028011
Name:FOREMAN, GERALDINE FRANCIS (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:FRANCIS
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:JERI
Other - Middle Name:FRANCIS
Other - Last Name:FOREMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1943 EDGEFORT CT.
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122
Mailing Address - Country:US
Mailing Address - Phone:408-274-3391
Mailing Address - Fax:408-274-3391
Practice Address - Street 1:1885 THE ALAMEDA
Practice Address - Street 2:STE 131
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:85103
Practice Address - Country:US
Practice Address - Phone:408-274-3391
Practice Address - Fax:408-274-3391
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32175251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health