Individual
MR. PATRICK J MCHUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1223 N PROVIDENCE RD, SUITE 3, MEDIA, PA 19063-1235
(610) 565-1399
Mailing address
1223 N PROVIDENCE RD, SUITE 3, MEDIA, PA 19063-1235
(610) 565-1399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002744L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS002744L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075811
BS
PA
05
—
1400277
—
PA
Enumeration date
03/30/2006
Last updated
06/10/2008
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