Provider Demographics
NPI:1568671527
Name:POST, PATRICIA CARMEN (PSYD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CARMEN
Last Name:POST
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:C
Other - Last Name:POST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:26 STATE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4457
Mailing Address - Country:US
Mailing Address - Phone:717-243-1896
Mailing Address - Fax:717-243-5297
Practice Address - Street 1:26 STATE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4457
Practice Address - Country:US
Practice Address - Phone:717-243-1896
Practice Address - Fax:717-243-5297
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016224103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076213Medicare UPIN