Provider Demographics
NPI:1104265503
Name:GEORGE, CATHERINE J (MED)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:J
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:J
Other - Last Name:BABNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:316 INDIAN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2528
Mailing Address - Country:US
Mailing Address - Phone:717-756-0413
Mailing Address - Fax:
Practice Address - Street 1:960 CENTURY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4374
Practice Address - Country:US
Practice Address - Phone:717-795-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101YM0800XMedicare Oscar/Certification