Provider Demographics
NPI:1073704011
Name:GEIGER, JENNIFER A (PHD ABPP-CN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:GEIGER
Suffix:
Gender:F
Credentials:PHD ABPP-CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 CENTURY CIR STE 203
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9453
Mailing Address - Country:US
Mailing Address - Phone:303-655-2663
Mailing Address - Fax:303-499-2635
Practice Address - Street 1:275 CENTURY CIR STE 203
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9453
Practice Address - Country:US
Practice Address - Phone:303-655-2663
Practice Address - Fax:303-499-2635
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4030103T00000X
CO0004030103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty