Provider Information for 1659809655
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GEOFFREY ALAN FAUSTMAN MA, LMFT
Sex: Male
NPI: 1659809655
Last Updated: 2021-03-26
Certification Date: 2021-03-26
Certification Date: 2021-03-26
Details
| Name | Value | ||||||||||||
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| NPI | 1659809655 | ||||||||||||
| Enumeration Date | 2017-06-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1000 E 65TH ST N SIOUX FALLS, SD 57104-0420 United States Phone: 605-906-0309 | Fax: | ||||||||||||
| Primary Practice Address | 1000 E 65TH ST N SIOUX FALLS, SD 57104-0420 United States Phone: 056-796-9536 | Fax: | ||||||||||||
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