# DR. GEORGE ATHEY JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225147085
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | 301 | KS | — |
| 103T00000X | Psychologist | 301 | KS | Yes |
| 103TF0200X | Forensic Psychologist | 301 | KS | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 06/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 119657 | BLUE SHIELD OF KS | KS |