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NPI Code Detail

MEDICARE: BARBARA K GEORGE MA

MEDICARE: BARBARA K GEORGE MA
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
1101YM0800XMental Health Counselor4166MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14166OTHERMALIS MH COUNSELOR

General Provider Information

NPI Number : 1932133584
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA K GEORGE MA
Provider Business Mailing Address
First Line : 2602 MOHAWK DRIVE
Second Line :
City : WHITE OAK
State : PA
Zip : 15131
Country : US
Telephone Number : 412-896-1153
Fax Number :
Provider Business Practice Location Address
First Line : 712 SOUTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-2940
Country : US
Telephone Number : 412-243-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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