Provider Demographics
NPI:1013978543
Name:GEETING, DOUGLAS EARL (MA)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:EARL
Last Name:GEETING
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 BLOOMING GROVE RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-9569
Mailing Address - Country:US
Mailing Address - Phone:717-632-8345
Mailing Address - Fax:717-632-5813
Practice Address - Street 1:1000 CARLISLE ST
Practice Address - Street 2:SUITE #35
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1121
Practice Address - Country:US
Practice Address - Phone:717-633-6283
Practice Address - Fax:717-632-5813
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003711101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health