Georgina Phelps
Mental Health
2001 River Ave
Long Beach
, California 90810-3622
Georgina Phelps
Mental Health
2001 River Ave
Long Beach
, California 90810-3622
(626) 372-5651
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Georgina Phelps
- 1105 Meridian Ave
- South Pasadena, CA
- Zip : 91030-3139
- Phone : (626) 372-5651
Second Address
- Georgina Phelps
- 2001 River Ave
- Long Beach, CA
- Zip : 90810-3622
- Phone : (626) 372-5651
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 4581 | CA |
National Provider Identifier
| NPI | 1619576832 |
|---|---|
| Provider Name | Georgina Phelps |
| First Address | South Pasadena, CA 91030-3139 |
| Second Address | Long Beach, CA 90810-3622 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2020 |
| Last Update Date | 19/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.