| Doctor Name: | DR. STEVEN EDWARD GELLER |
| NPI Number: | 1497724090 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1954 |
| Business Practice Address: | 181 Lahainaluna Rd Suite K Lahaina, HI - 967611585 |
| Business Phone Number: | 8086618141 |
| Business Fax Number: | 8085682598 |
| Mailing Address: | 181 Lahainaluna Rd, Suite K LAHAINA |
| State: | HI |
| Postal Code: | 967611585 |
| Phone Number: | 8086618141 |
| Fax Number: | 8085682598 |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 07/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1954 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |