MEDICARE: DR. PETER SCOTT GEISSLER M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	RC00055828	WA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	ADD14039	DC
3	101Y00000X	Counselor	10129152	OR
4	101YM0800X	Mental Health Counselor	MH8935	FL
5	102L00000X	Psychoanalyst	RP-254	CA
6	106H00000X	Marriage & Family Therapist	LMFT000063	DC
7	106H00000X	Marriage & Family Therapist	842	TN
8	261QM2500X	Medical Specialty Clinic/Center
9	101YA0400X	Addiction (Substance Use Disorder) Counselor	1059	TN

General Provider Information

NPI Number	:	1073842266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER SCOTT GEISSLER M.D., PH.D.

Provider Business Mailing Address
First Line	:	784 S CLEARWATER LOOP STE 4067
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	208-219-5285
Fax Number	:

Provider Business Practice Location Address
First Line	:	784 S CLEARWATER LOOP STE 4067
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	208-219-5285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2009
Last Update Date	:	01/15/2024

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Directions to “ DR. PETER SCOTT GEISSLER M.D., PH.D.” Practice Location

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