Provider Demographics
NPI:1184644163
Name:KRAUS, GEORGE ALBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALBERT
Last Name:KRAUS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3496 BUSKIRK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-7303
Mailing Address - Country:US
Mailing Address - Phone:925-238-6466
Mailing Address - Fax:925-407-2902
Practice Address - Street 1:3496 BUSKIRK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-7303
Practice Address - Country:US
Practice Address - Phone:925-238-6466
Practice Address - Fax:925-407-2902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5613103TC0700X
CAPSY 24617103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical