George, Richard Allan

George, Richard Allan is an individual health care provider with primary practice located at 3118 Cleveland Ave Nw Richard A George, Phd, Inc., Canton OH 44709-2813. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. George, Richard Allan can be contacted via phone (330) 492-9913.

Contact Information

Primary practice address
3118 Cleveland Ave Nw Richard A George, Phd, Inc. Canton OH 44709-2813
Fax: (330) 492-6561
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E0000953 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2871 Ohio

Profile Details

NPI number 1730293499
LBN Legal business name George, Richard Allan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730293499 NPPES
Ohio MEDICAID 0417230

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