Doctor Name: | DR. RICHARD JOSEPH ESTELL |
NPI Number: | 1841322237 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | SI01172 |
Business Practice Address: | 4974 W Rolling Glen Dr Pipersville, PA - 189471072 |
Business Phone Number: | 2157669928 |
Business Fax Number: | 6096331526 |
Mailing Address: | 4974 W Rolling Glen Dr, PIPERSVILLE |
State: | PA |
Postal Code: | 189471072 |
Phone Number: | 2157669928 |
Fax Number: | 6096331526 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SI01172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |