Healthcare Provider Details

I. General information

NPI: 1972918928
Provider Name (Legal Business Name): GENEVA POLSER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2014
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 FRIENDSHIP BLVD STE 590
CHEVY CHASE MD
20815-7310
US

IV. Provider business mailing address

1510 S 3RD ST APT #3
LOUISVILLE KY
40208-1990
US

V. Phone/Fax

Practice location:
  • Phone: 877-494-6157
  • Fax: 240-235-8720
Mailing address:
  • Phone: 410-299-8814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: