Healthcare Provider Details

I. General information

NPI: 1477081602
Provider Name (Legal Business Name): MARCY GEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 06/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S PITTSBURGH ST
CONNELLSVILLE PA
15425-4403
US

IV. Provider business mailing address

100 NEW SALEM RD STE 116
UNIONTOWN PA
15401-8936
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-0729
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: