Provider Demographics
NPI:1538387329
Name:GIES, MARJORIE SUMNER (MD)
Entity type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:SUMNER
Last Name:GIES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1335 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2609
Mailing Address - Country:US
Mailing Address - Phone:805-899-4940
Mailing Address - Fax:805-965-8186
Practice Address - Street 1:1335 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2609
Practice Address - Country:US
Practice Address - Phone:805-899-4940
Practice Address - Fax:805-965-8186
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0697962084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine