Provider Demographics
NPI:1619931714
Name:GEORGE, DENNIS R (MS)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:R
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4531 PARK VIEW DR APT Q15
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-2565
Mailing Address - Country:US
Mailing Address - Phone:484-347-4961
Mailing Address - Fax:
Practice Address - Street 1:4531 PARK VIEW DR APT Q15
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2565
Practice Address - Country:US
Practice Address - Phone:484-347-4961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC003581OtherLIC PROF COUNSELOR