Doctor Name: | PATRICIA HARTIGAN |
NPI Number: | 1033521216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904008617 |
Business Practice Address: | 400 Medical Dr Hampton, VA - 236661767 |
Business Phone Number: | 7577880400 |
Business Fax Number: | 7577880969 |
Mailing Address: | 300 Medical Dr, HAMPTON |
State: | VA |
Postal Code: | 236661765 |
Phone Number: | 7577880300 |
Fax Number: | 7577880969 |
NPI Enumeration Date: | 05/22/2014 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904008617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |