Provider Demographics
NPI:1386955482
Name:GEER, JILLIAN E
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:E
Last Name:GEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 TROUT FARM LN
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4609
Mailing Address - Country:US
Mailing Address - Phone:617-688-0395
Mailing Address - Fax:
Practice Address - Street 1:26 TROUT FARM LN
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4609
Practice Address - Country:US
Practice Address - Phone:617-688-0395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst