Provider Demographics
NPI:1740368034
Name:GEYER, BEATA SYLVIA (PHD , ABPP-CN)
Entity type:Individual
Prefix:
First Name:BEATA
Middle Name:SYLVIA
Last Name:GEYER
Suffix:
Gender:F
Credentials:PHD , ABPP-CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 INDUSTRIAL ROAD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PEQUANNOCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07440-1901
Mailing Address - Country:US
Mailing Address - Phone:973-832-7777
Mailing Address - Fax:973-832-7778
Practice Address - Street 1:7 INDUSTRIAL ROAD
Practice Address - Street 2:SUITE 202
Practice Address - City:PEQUANNOCK
Practice Address - State:NJ
Practice Address - Zip Code:07440-1901
Practice Address - Country:US
Practice Address - Phone:973-832-7777
Practice Address - Fax:973-832-7778
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00407100103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
074122PSYMedicare ID - Type Unspecified