Provider Demographics
NPI:1326230616
Name:GEORGE, MARILYN SUE (JUNGIAN ANALYST PHD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:SUE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:JUNGIAN ANALYST PHD
Other - Prefix:DR
Other - First Name:VOCATA
Other - Middle Name:S
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JUNGIAN ANALYST PHD
Mailing Address - Street 1:187 SEMINARY ST
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017
Mailing Address - Country:US
Mailing Address - Phone:440-243-6875
Mailing Address - Fax:
Practice Address - Street 1:187 SEMINARY ST
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017
Practice Address - Country:US
Practice Address - Phone:440-243-6875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst