Geoffrey D Nusbaum, PH.D.

NPI #1417978347 in Pocatello, Idaho

Provider Information

NPI Number: 1417978347
Entity Type: Individual
Name: Geoffrey D Nusbaum, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: PH.D.
Enumeration Date: Jul 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 333 N 18TH AVE STE A
City: Pocatello
State: Idaho
ZIP Code: 83201-3358
Phone: (208) 234-2660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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