| Doctor Name: | MR. GEORGE EDWARD BENNETT |
| NPI Number: | 1073690475 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, MAMS |
| License Number: | PC004454 |
| Business Practice Address: | 129 Charles St Hanover, PA - 173311807 |
| Business Phone Number: | 7176331227 |
| Business Fax Number: | |
| Mailing Address: | 665 Herrs Ridge Rd, GETTYSBURG |
| State: | PA |
| Postal Code: | 173258451 |
| Phone Number: | 7173372695 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC004454 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |