MEDICARE: DR. ASHLEY VICTORIA GERACI PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	P.08966	OH

General Provider Information

NPI Number	:	1104430032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY VICTORIA GERACI PSYD

Provider Business Mailing Address
First Line	:	8063 WASHINGTON VILLAGE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1847
Country	:	US
Telephone Number	:	937-294-6004
Fax Number	:	937-294-9053

Provider Business Practice Location Address
First Line	:	8063 WASHINGTON VILLAGE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1847
Country	:	US
Telephone Number	:	937-294-6004
Fax Number	:	937-294-9053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	06/11/2026

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