Provider Demographics
NPI:1144030834
Name:CRIBBS, GERI LEA (PHD)
Entity type:Individual
Prefix:DR
First Name:GERI
Middle Name:LEA
Last Name:CRIBBS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 E NEWSOME CT
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7091
Mailing Address - Country:US
Mailing Address - Phone:208-763-8610
Mailing Address - Fax:
Practice Address - Street 1:3025 E NEWSOME CT
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-7091
Practice Address - Country:US
Practice Address - Phone:208-763-8610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY61515175103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical