Provider Demographics
NPI:1609382738
Name:RICE, GEORGIANN (EDD)
Entity type:Individual
Prefix:
First Name:GEORGIANN
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4844 SUN N' LAKE BLVD.
Mailing Address - Street 2:CENTRAL FLORIDA NEUROPSYCHOLOGY
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872
Mailing Address - Country:US
Mailing Address - Phone:863-402-2222
Mailing Address - Fax:855-429-8888
Practice Address - Street 1:4844 SUN N' LAKE BLVD.
Practice Address - Street 2:CENTRAL FLORIDA NEUROPSYCHOLOGY
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872
Practice Address - Country:US
Practice Address - Phone:863-402-2222
Practice Address - Fax:855-429-8888
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11526101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health