Provider Demographics
NPI:1841374964
Name:CAREY, GEORGE LEE III (MS)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:LEE
Last Name:CAREY
Suffix:III
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 1:6666 PASSER RD STE 2
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-1258
Mailing Address - Country:US
Mailing Address - Phone:484-353-6544
Mailing Address - Fax:215-536-8523
Practice Address - Street 1:6666 PASSER RD STE 2
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1258
Practice Address - Country:US
Practice Address - Phone:484-353-6544
Practice Address - Fax:215-536-8523
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005963L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA696304OtherHIGHMARK BLUE SHIELD