Provider Demographics
NPI:1417965492
Name:GEIBEL, STEPHEN JEFFREY (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JEFFREY
Last Name:GEIBEL
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 1:139 SILVER OAK DR
Mailing Address - Street 2:
Mailing Address - City:RENFREW
Mailing Address - State:PA
Mailing Address - Zip Code:16053-9266
Mailing Address - Country:US
Mailing Address - Phone:724-968-6968
Mailing Address - Fax:
Practice Address - Street 1:139 SILVER OAK DR
Practice Address - Street 2:
Practice Address - City:RENFREW
Practice Address - State:PA
Practice Address - Zip Code:16053-9266
Practice Address - Country:US
Practice Address - Phone:724-968-6968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2020-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health