MEDICARE: DR. RICHARD ALLAN GEORGE PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	E0000953	OH
2	103T00000X	Psychologist	2871	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730293499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ALLAN GEORGE PHD

Provider Business Mailing Address
First Line	:	11074 OYSTER RD
Second Line	:
City	:	ALLIANCE
State	:	OH
Zip	:	44601
Country	:	US
Telephone Number	:	330-823-3072
Fax Number	:

Provider Business Practice Location Address
First Line	:	3118 CLEVELAND AVE NW
Second Line	:	RICHARD A GEORGE, PHD, INC.
City	:	CANTON
State	:	OH
Zip	:	44709-2813
Country	:	US
Telephone Number	:	330-492-9913
Fax Number	:	330-492-6561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/11/2025

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