Provider Demographics
NPI:1922180926
Name:FEUER, GEORGE S (PHD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:S
Last Name:FEUER
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 1:302 HATHAWAY LN
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1905
Mailing Address - Country:US
Mailing Address - Phone:610-246-4514
Mailing Address - Fax:610-649-5620
Practice Address - Street 1:302 HATHAWAY LN
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1905
Practice Address - Country:US
Practice Address - Phone:610-246-4514
Practice Address - Fax:610-649-5620
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004785L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA034543OtherBLUE CROSS BLUE SHIELD
PA61-00525OtherEVERCARE
PA620003550OtherRAIL ROAD
PA0015431260004Medicaid
PA61-00525OtherEVERCARE