Doctor Name: | PATTI RICH |
NPI Number: | 1083977631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC005473 |
Business Practice Address: | 23 Paoli Pike Suite 100 Paoli, PA - 193011852 |
Business Phone Number: | 6106441206 |
Business Fax Number: | |
Mailing Address: | 209 Monument Ave, 2nd Floor MALVERN |
State: | PA |
Postal Code: | 193552600 |
Phone Number: | 6106441203 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |