Individual
DR. NANCY JO PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6230 OLD JONESTOWN RD STE A, HARRISBURG, PA 17112-6257
(717) 971-2936
Mailing address
134 STIRRUP LN, HARRISBURG, PA 17112-8876
(717) 497-9846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS007781L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS007781L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS007781L
PA
103TS0200X
School Psychologist
Primary
PS007781L
PA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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