Doctor Name: | ANTHONY PATER |
NPI Number: | 1306186945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CADC, CCDP |
License Number: | 077028 |
Business Practice Address: | 516 Allegheny St Ste 104 Hollidaysburg, PA - 166482028 |
Business Phone Number: | 8149351185 |
Business Fax Number: | 8146952278 |
Mailing Address: | Po Box 266, HOLLIDAYSBURG |
State: | PA |
Postal Code: | 166480266 |
Phone Number: | 8149351185 |
Fax Number: | 8146952278 |
NPI Enumeration Date: | 02/19/2013 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 077028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |