Provider Demographics
NPI:1750707485
Name:GEIGER, DIX (LPC)
Entity type:Individual
Prefix:MR
First Name:DIX
Middle Name:
Last Name:GEIGER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7204 WESTCHESTER
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2869
Mailing Address - Country:US
Mailing Address - Phone:248-770-8042
Mailing Address - Fax:248-334-3109
Practice Address - Street 1:7204 WESTCHESTER
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2869
Practice Address - Country:US
Practice Address - Phone:248-770-8042
Practice Address - Fax:248-334-3109
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012872101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional