Provider Demographics
NPI:1720177249
Name:GEIS, BILL DEAN (PHD)
Entity Type:Individual
Prefix:MR
First Name:BILL
Middle Name:DEAN
Last Name:GEIS
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 1:4700 BELLEVIEW
Mailing Address - Street 2:SUITE 212
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112
Mailing Address - Country:US
Mailing Address - Phone:816-756-1227
Mailing Address - Fax:816-756-1438
Practice Address - Street 1:4700 BELLEVIEW
Practice Address - Street 2:SUITE 212
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112
Practice Address - Country:US
Practice Address - Phone:816-756-1227
Practice Address - Fax:816-756-1438
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPYR0191103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO15352014OtherBC
MO15352014OtherBC
MO0001658Medicare ID - Type Unspecified