Healthcare Provider Details

I. General information

NPI: 1740368034
Provider Name (Legal Business Name): BEATA SYLVIA GEYER PH.D. , ABPP-CN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 06/06/2025
Certification Date: 05/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 PASSAIC AVENUE, BUILDING B, SUITE 301
FAIRFIELD NJ
07004-2530
US

IV. Provider business mailing address

310 PASSAIC AVENUE, BUILDING B, SUITE 301
FAIRFIELD NJ
07004-2530
US

V. Phone/Fax

Practice location:
  • Phone: 973-832-7777
  • Fax: 862-702-8273
Mailing address:
  • Phone: 973-832-7777
  • Fax: 862-702-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35SI00407100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: