| Organization Name: | DR. PATRICIA A CHESLOCK, PC |
| NPI Number: | 1043500176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA ANN CHESLOCK (CLINICAL PSYCHOLOGIST/ OWNER) |
| Mailing Address: | 804 Sarah St Stroudsburg |
| State: | PA US |
| Postal Code: | 183601738 |
| Phone Number: | 5704217100 |
| Fax Number: | 5704201248 |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PS016434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |