Provider Demographics
NPI:1871911933
Name:GEIGER, LAURA A (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:A
Last Name:GEIGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 HAMILTON AVE
Mailing Address - Street 2:SUITE 27
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5630
Mailing Address - Country:US
Mailing Address - Phone:831-402-7868
Mailing Address - Fax:
Practice Address - Street 1:1975 HAMILTON AVE
Practice Address - Street 2:SUITE 27
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5630
Practice Address - Country:US
Practice Address - Phone:831-402-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14744103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic