Healthcare Provider Details
I. General information
NPI: 1518924927
Provider Name (Legal Business Name): PATRICIA L DAY CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/28/2006
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 S FRONT STREET 5TH FLOOR
HARRISBURG PA
17104-1619
US
IV. Provider business mailing address
118 WASHINGTON STREET
HARRISBURG PA
17104-1612
US
V. Phone/Fax
- Phone: 717-231-8360
- Fax: 717-231-8358
- Phone: 717-231-8539
- Fax: 717-231-8588
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | SW007398L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW012979 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: