Provider Demographics
NPI:1528464021
Name:GEYER, SVEA (340797)
Entity type:Individual
Prefix:
First Name:SVEA
Middle Name:
Last Name:GEYER
Suffix:
Gender:F
Credentials:340797
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 DANIELSON RD
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-7234
Mailing Address - Country:US
Mailing Address - Phone:406-212-6413
Mailing Address - Fax:
Practice Address - Street 1:1190 DANIELSON RD
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-7234
Practice Address - Country:US
Practice Address - Phone:406-212-6413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT340797171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator