Healthcare Provider Details

I. General information

NPI: 1699654830
Provider Name (Legal Business Name): JULIANNA ROSE GEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5180 CAMPBELLS RUN RD
PITTSBURGH PA
15205-9731
US

IV. Provider business mailing address

5180 CAMPBELLS RUN RD
PITTSBURGH PA
15205-9731
US

V. Phone/Fax

Practice location:
  • Phone: 412-788-8219
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: