Provider Demographics
NPI:1275858052
Name:MCCLINTOCK, RICK
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:MCCLINTOCK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 S MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4146
Mailing Address - Country:US
Mailing Address - Phone:724-438-4960
Mailing Address - Fax:724-438-1809
Practice Address - Street 1:253 S MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4146
Practice Address - Country:US
Practice Address - Phone:724-438-4960
Practice Address - Fax:724-438-1809
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health