MEDICARE: MS. GEORGEANNE WISEN LMFT

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	106H00000X	Marriage & Family Therapist	57786	CA
2	106H00000X	Marriage & Family Therapist	51784	CA

General Provider Information

NPI Number	:	1801044383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GEORGEANNE WISEN LMFT

Provider Business Mailing Address
First Line	:	391 S MADISON AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-3375
Country	:	US
Telephone Number	:	562-201-7444
Fax Number	:

Provider Business Practice Location Address
First Line	:	391 S MADISON AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-3375
Country	:	US
Telephone Number	:	562-201-7444
Fax Number	:

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

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	05/17/2013

Similar Medicare Providers

1629077839 — JIMMY JOE MOON SR. D.D.S.
Practice Location Address:

2009 JOHN ST
PASADENA, TX
77502-3375

Practice Phone: 713-473-6677
Practice Fax: 713-473-6778

1598764854 — BARBARA SEID MOON D.D.S
Practice Location Address:

2009 JOHN ST
PASADENA, TX
77502-3375

Practice Phone: 713-473-6677
Practice Fax:

1083613202 — WILLIAM SEID DDS
Practice Location Address:

2009 JOHN ST
PASADENA, TX
77502-3375

Practice Phone: 713-473-6677
Practice Fax: 713-473-6778

1912020892 — DR. MARY L LIN D.M.D.
Practice Location Address:

1016 FAIR OAKS AVE
SOUTH PASADENA, CA
91030-3375

Practice Phone: 626-799-0852
Practice Fax: 626-799-0854

1295858173 — DR. JOHN W CHU D.M.D.
Practice Location Address:

1016 FAIR OAKS AVE
SOUTH PASADENA, CA
91030-3375

Practice Phone: 626-799-0852
Practice Fax: 626-799-0854

1902011307 — JIMMY JOE MOON, DDS & BARBARA SEID MOON, DDS, INC.
Practice Location Address:

2009 JOHN ST
PASADENA, TX
77502-3375

Practice Phone: 713-473-6677
Practice Fax: 713-473-6778

Directions to “ MS. GEORGEANNE WISEN LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.