Provider Demographics
NPI:1447525068
Name:GEISINGER, PAMELA JANE (MS, LPC-S)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JANE
Last Name:GEISINGER
Suffix:
Gender:F
Credentials:MS, LPC-S
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:GEISINGER
Other - Last Name:SANDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5528 ROCK CANYON RD
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-3796
Mailing Address - Country:US
Mailing Address - Phone:972-824-0103
Mailing Address - Fax:972-408-0821
Practice Address - Street 1:5528 ROCK CANYON RD
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-3796
Practice Address - Country:US
Practice Address - Phone:972-824-0103
Practice Address - Fax:972-408-0821
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional