Individual
DR. PATRICK PROGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(610) 383-1432
Mailing address
24 OAK CT, MEDFORD, NJ 08055-8333
(973) 618-3919
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-008949-L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS-008949-L
PA
103TC0700X
Clinical Psychologist
PS-008949-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS-008949-L
PA
103TF0000X
Family Psychologist
PS-008949-L
PA
103TH0004X
Health Psychologist
PS-008949-L
PA
103TH0100X
Health Service Psychologist
PS-008949-L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS-008949-L
PA
103TR0400X
Rehabilitation Psychologist
PS-008949-:
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS-008949-L
PENNSYLVANIA LICENSE TO PRACTICE PSYCHOLOGY
PA
Enumeration date
08/19/2008
Last updated
08/19/2008
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