Provider Demographics
NPI:1447635586
Name:GERMICK, JOSEPH (MS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GERMICK
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18509-3260
Mailing Address - Country:US
Mailing Address - Phone:570-343-8835
Mailing Address - Fax:570-342-3972
Practice Address - Street 1:410 OLIVE ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-3260
Practice Address - Country:US
Practice Address - Phone:570-343-8835
Practice Address - Fax:570-342-3972
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health