Individual
DR. PATRICIA ANN CHESLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
804 SARAH ST, STROUDSBURG, PA 18360-1738
(570) 421-7100
(570) 420-1248
Mailing address
59 WILDFLOWER CIR, STROUDSBURG, PA 18360-8762
(570) 421-7100
(570) 420-1248
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS016434
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102219041 0001
—
PA
Enumeration date
05/20/2008
Last updated
04/04/2011
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