Provider Demographics
NPI:1366101602
Name:JAMES, GEORGE A JR (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:A
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1718
Mailing Address - Country:US
Mailing Address - Phone:610-453-2333
Mailing Address - Fax:
Practice Address - Street 1:451 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1718
Practice Address - Country:US
Practice Address - Phone:610-453-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000608106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist