Provider Demographics
NPI:1083708010
Name:MOREL, PATRICIA ADRIENNE (MS)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ADRIENNE
Last Name:MOREL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 HOLLY LANE
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342
Mailing Address - Country:US
Mailing Address - Phone:610-356-2100
Mailing Address - Fax:610-356-6645
Practice Address - Street 1:19 CAMPUS BLVD
Practice Address - Street 2:DELAWARE COUNTY PROFESSIONAL SERVICES SUITE 102
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-356-2100
Practice Address - Fax:610-356-6645
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional