Provider Demographics
NPI:1033226683
Name:URICH, MARK F (PHD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:F
Last Name:URICH
Suffix:
Gender:M
Credentials:PHD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:325 NEW CASTLE RD
Mailing Address - Street 2:BUTLER VA MEDICAL CENTER
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2418
Mailing Address - Country:US
Mailing Address - Phone:724-285-2499
Mailing Address - Fax:724-477-5038
Practice Address - Street 1:325 NEW CASTLE RD
Practice Address - Street 2:BUTLER VA MEDICAL CENTER
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2418
Practice Address - Country:US
Practice Address - Phone:724-285-2499
Practice Address - Fax:724-477-5038
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2010-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPS006482L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling