Provider Demographics
NPI:1154730851
Name:GEYER, ISABELLA F (PSYD)
Entity type:Individual
Prefix:DR
First Name:ISABELLA
Middle Name:F
Last Name:GEYER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1028
Mailing Address - Street 2:
Mailing Address - City:OURAY
Mailing Address - State:CO
Mailing Address - Zip Code:81427-1028
Mailing Address - Country:US
Mailing Address - Phone:970-318-1599
Mailing Address - Fax:
Practice Address - Street 1:5290 DTC PKWY STE 150
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2764
Practice Address - Country:US
Practice Address - Phone:720-416-3451
Practice Address - Fax:970-233-4565
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000380101YA0400X
COLPC.0012040101YP2500X
COPSY.0004573103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000153171Medicaid