Pamela Gail Geib, ED.D.

Individual provider Active NPI Psychologist · Newtonville, MA

NPI 1770636730 · NPPES record last updated Oct 12, 2008

Key facts

NPI
1770636730
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
3095 (MA)
Practice address
7 Briar LN
Newtonville, MA 02460-1801
Phone
(617) 332-2129
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Opted out of Medicare
Yes, effective Apr 29, 2018 through Apr 29, 2028

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3095 MA Yes

Addresses

Primary practice location

7 Briar LN
Newtonville, MA 02460-1801

Mailing address

7 Briar LN
Newtonville, MA 02460-1801
Phone (617) 332-2129

Other identifiers

IdentifierTypeStateIssuer
GE WO3197OtherMABLUE CROSS BLUE SHIELD

Other providers in Newtonville, MA

All providers in Newtonville, MA · Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.