| David S. Geiser, Ph.d., P.a. | |
|
1950 Courtney Dr Suite 2 Fort Myers FL 33901-9034 | |
| (239) 278-3231 | |
| (239) 278-4227 |
| Full Name | David S. Geiser, Ph.d., P.a. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1950 Courtney Dr, Fort Myers, Florida |
| Authorized Official Name and Position | David S Geiser (PRESIDENT OF P.A.) |
| Authorized Official Contact | 2392783231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Geiser, Ph.d., P.a. 1950 Courtney Dr Suite 2 Fort Myers FL 33901-9034 Ph: (239) 278-3231 | David S. Geiser, Ph.d., P.a. 1950 Courtney Dr Suite 2 Fort Myers FL 33901-9034 Ph: (239) 278-3231 |
| NPI Number | 1861559346 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/18/2015 |
| Medicare PECOS PAC ID | 9739373515 |
|---|---|
| Medicare Enrollment ID | O20101105000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861559346 | NPI | - | NPPES |
| DS831A | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY0005048 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY0005048 (Florida) | Secondary |
| Provider Name | David Stanley Geiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114107232 PECOS PAC ID: 0648464420 Enrollment ID: I20101105000544 |
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