Provider Demographics
NPI:1619086311
Name:GEIGER, LYNN E (PHD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:E
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 1:19 POPE AVENUE EXECUTIVE PARK RD
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-4787
Mailing Address - Country:US
Mailing Address - Phone:843-341-3020
Mailing Address - Fax:843-341-2081
Practice Address - Street 1:19 POPE AVENUE EXECUTIVE PARK RD
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-4787
Practice Address - Country:US
Practice Address - Phone:843-341-3020
Practice Address - Fax:843-341-2081
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC667103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical