Provider Demographics
NPI:1538122056
Name:GEIGER, CORRINE (PHD)
Entity Type:Individual
Prefix:
First Name:CORRINE
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 CLEVELAND AVE S
Mailing Address - Street 2:SUITE P
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1208
Mailing Address - Country:US
Mailing Address - Phone:651-690-1810
Mailing Address - Fax:651-699-9616
Practice Address - Street 1:241 CLEVELAND AVE S
Practice Address - Street 2:SUITE P
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1208
Practice Address - Country:US
Practice Address - Phone:651-690-1810
Practice Address - Fax:651-699-9616
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0930103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN26423OtherHEALTH PARTNERS
MN1009920OtherPREFERRED ONE
MN025547500Medicaid
MN5771611OtherAETNA
MN26423OtherHEALTH PARTNERS
MN680000021Medicare ID - Type Unspecified