Provider Demographics
NPI:1366858706
Name:DR. KATJA M SPRADLIN-MCHUGH, LLC
Entity Type:Organization
Organization Name:DR. KATJA M SPRADLIN-MCHUGH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATJA
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:SPRADLIN-MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-240-7478
Mailing Address - Street 1:67 MEADOW GLEN LN
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-9422
Mailing Address - Country:US
Mailing Address - Phone:610-741-6907
Mailing Address - Fax:
Practice Address - Street 1:122 W LANCASTER AVE STE 103
Practice Address - Street 2:
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-1874
Practice Address - Country:US
Practice Address - Phone:610-741-6907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017507103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty