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NPI Code Detail

MEDICARE: PATRY RODRIGUEZ LPC

MEDICARE:   PATRY  RODRIGUEZ  LPC
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
1101YM0800XMental Health CounselorPC011039PA

General Provider Information

NPI Number : 1356991202
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRY RODRIGUEZ LPC
Provider Business Mailing Address
First Line : 502 W GERMANTOWN PIKE
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-4232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 502 W GERMANTOWN PIKE
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-4232
Country : US
Telephone Number : 484-769-9476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2019
Last Update Date : 09/12/2019

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Directions to “ PATRY RODRIGUEZ LPC” Practice Location

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