| Doctor Name: | KATHY DANIELS RICHARDSON |
| NPI Number: | 1477759538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PC003713 |
| Business Practice Address: | 150 E Main St Leola, PA - 175401964 |
| Business Phone Number: | 8004597497 |
| Business Fax Number: | |
| Mailing Address: | 6070 Hampton Ct, EAST PETERSBURG |
| State: | PA |
| Postal Code: | 175201203 |
| Phone Number: | 7178456624 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 12/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC003713 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |