Individual
DR. GEORGE H. WITHERS PH.D.
Active
Individual
DR. GEORGE H. WITHERS PH.D.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
22835
TX
103TF0000X
Family Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102985203
—
TX
01
—
680013958
RR MEDICARE NUMBER
TX
Enumeration date
04/10/2007
Last updated
10/10/2012
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