Provider Demographics
NPI:1386784700
Name:GEIST, ROBERT L (PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:GEIST
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WAX LN SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35824-4086
Mailing Address - Country:US
Mailing Address - Phone:256-694-0649
Mailing Address - Fax:
Practice Address - Street 1:9238 MADISON BLVD STE 119
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9112
Practice Address - Country:US
Practice Address - Phone:256-510-5400
Practice Address - Fax:256-510-5410
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL901103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist