Provider Demographics
NPI:1871770032
Name:GEARON, JEAN S (PHD)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:S
Last Name:GEARON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:S
Other - Last Name:GEARON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 411
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-887-8077
Mailing Address - Fax:202-887-8999
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 411
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-887-8077
Practice Address - Fax:202-887-8999
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical