| Doctor Name: | MARK F. URICH |
| NPI Number: | 1033226683 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PS006482L |
| Business Practice Address: | 325 New Castle Rd Butler Va Medical Center Butler, PA - 160012418 |
| Business Phone Number: | 7242852499 |
| Business Fax Number: | 7244775038 |
| Mailing Address: | 325 New Castle Rd, Butler Va Medical Center BUTLER |
| State: | PA |
| Postal Code: | 160012418 |
| Phone Number: | 7242852499 |
| Fax Number: | 7244775038 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 12/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PS006482L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |