Provider Demographics
NPI:1376966911
Name:SPRADLIN-MCHUGH, KATJA MARTHA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATJA
Middle Name:MARTHA
Last Name:SPRADLIN-MCHUGH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:646-240-7478
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:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017507103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling