| Doctor Name: | CODY L GEISE |
| NPI Number: | 1093132532 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | PC007719 |
| Business Practice Address: | 105 W Main St Valley View, PA - 179839423 |
| Business Phone Number: | 5706828026 |
| Business Fax Number: | 5706828043 |
| Mailing Address: | 7 Dock Hill Rd, MIDDLEBURG |
| State: | PA |
| Postal Code: | 178428910 |
| Phone Number: | 5708372123 |
| Fax Number: | 5708372185 |
| NPI Enumeration Date: | 03/22/2014 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC007719 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |