| Doctor Name: | GEORGE PETZINGER |
| NPI Number: | 1003905522 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD00038547 |
| Business Practice Address: | 918 E Mead Ave Yakima, WA - 989033720 |
| Business Phone Number: | 5094531344 |
| Business Fax Number: | 5094532209 |
| Mailing Address: | 402 N 4th Street, Suite 202 YAKIMA |
| State: | WA |
| Postal Code: | 98901 |
| Phone Number: | 5092483782 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | MD00038547 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |