Provider Demographics
NPI:1235312182
Name:GEORGER, BETH
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:GEORGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 N ERIE ST
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14757-1090
Mailing Address - Country:US
Mailing Address - Phone:716-753-4104
Mailing Address - Fax:
Practice Address - Street 1:326 ORCHARD PARK RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2635
Practice Address - Country:US
Practice Address - Phone:716-828-0560
Practice Address - Fax:716-823-0751
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor