Healthcare Provider Details

I. General information

NPI: 1699930354
Provider Name (Legal Business Name): PATRICIA R MCGETTIGAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1098 WASHINGTON CROSSING RD THE CROSSINGS BUILDING - SUITE 1
WASHINGTON CROSSING PA
18977
US

IV. Provider business mailing address

1098 WASHINGTON CROSSING RD THE CROSSINGS BUILDING - SUITE 1
WASHINGTON CROSSING PA
18977-1343
US

V. Phone/Fax

Practice location:
  • Phone: 215-321-9111
  • Fax: 215-321-1043
Mailing address:
  • Phone: 215-321-9111
  • Fax: 215-321-1043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPS008015L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: