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NPI Code Detail

MEDICARE: PATRICK T. GHASTER L.P.C.C.

MEDICARE: PATRICK T. GHASTER L.P.C.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE 0003316OH

General Provider Information

NPI Number : 1447478367
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK T. GHASTER L.P.C.C.
Provider Business Mailing Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number : 419-475-4449
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N PROSPECT ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-1335
Country : US
Telephone Number : 419-352-5387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 06/26/2024

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