Organization
DAVID S. GEISER, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S GEISER PH.D. (PRESIDENT OF P.A.)
(239) 278-3231
Entity
Organization
Contact information
Practice address
1950 COURTNEY DR, SUITE 2, FORT MYERS, FL 33901-9034
(239) 278-3231
(239) 278-4227
Mailing address
1950 COURTNEY DR, SUITE 2, FORT MYERS, FL 33901-9034
(239) 278-3231
(239) 278-4227
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0005048
FL
103TC0700X
Clinical Psychologist
PY0005048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS831A
PTAN
FL
Enumeration date
01/03/2007
Last updated
04/18/2015
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