| Doctor Name: | PATRICIA A RUPERT |
| NPI Number: | 1861580045 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, BCD |
| License Number: | CW007586L |
| Business Practice Address: | 63 N. Main St. First Floor Port Allegany, PA - 16743 |
| Business Phone Number: | 8146427909 |
| Business Fax Number: | 8146427909 |
| Mailing Address: | 63 N Main St, 1st Floor, Suite 2 PORT ALLEGANY |
| State: | PA |
| Postal Code: | 167431369 |
| Phone Number: | 8146427909 |
| Fax Number: | 8146427909 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 08/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW007586L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |