Doctor Name: | GEORGE MAYNARD NIPE |
NPI Number: | 1033530027 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C. |
License Number: | 0701005647 |
Business Practice Address: | 1241 N Main St Harrisonburg, VA - 228024632 |
Business Phone Number: | 5404341941 |
Business Fax Number: | 5404344378 |
Mailing Address: | 29 Port Republic Rd, HARRISONBURG |
State: | VA |
Postal Code: | 228013035 |
Phone Number: | 5408105998 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2013 |
NPI Last Update Date: | 12/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701005647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |