Healthcare Provider Details

I. General information

NPI: 1932177219
Provider Name (Legal Business Name): PATRICIA A. ENGLAND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 1 BOX 300H
ROARING SPRING PA
16673-9740
US

IV. Provider business mailing address

RR 1 BOX 300H
ROARING SPRING PA
16673-9740
US

V. Phone/Fax

Practice location:
  • Phone: 814-224-5130
  • Fax:
Mailing address:
  • Phone: 814-224-5130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC001885
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: