Doctor Name: | PATRICIA BURG RICHGELS |
NPI Number: | 1144366733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 2285123 |
Business Practice Address: | 2920 East Ave S Suite 101 Lacrosse, WI - 546018282 |
Business Phone Number: | 6087848688 |
Business Fax Number: | 6087848684 |
Mailing Address: | 2920 East Ave S, Suite 101 LACROSSE |
State: | WI |
Postal Code: | 546018282 |
Phone Number: | 6087848688 |
Fax Number: | 6087848684 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2285123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |