Provider Demographics
NPI:1427450634
Name:JENNIFER A GEIGER PHD PC
Entity type:Organization
Organization Name:JENNIFER A GEIGER PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, JENNIFER A. GEIGER PHD PC
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, ABPP-CN
Authorized Official - Phone:720-508-3518
Mailing Address - Street 1:275 CENTURY CIR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9729
Mailing Address - Country:US
Mailing Address - Phone:720-508-3518
Mailing Address - Fax:303-499-2635
Practice Address - Street 1:275 CENTURY CIR
Practice Address - Street 2:SUITE 203
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9729
Practice Address - Country:US
Practice Address - Phone:720-508-3518
Practice Address - Fax:303-499-2635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4030103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty