Provider Demographics
NPI:1689311532
Name:PRITCHARD, AUSTIN NEIL (LMFT)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:NEIL
Last Name:PRITCHARD
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HALLECK DR
Mailing Address - Street 2:
Mailing Address - City:EAST BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17316-9353
Mailing Address - Country:US
Mailing Address - Phone:717-253-7068
Mailing Address - Fax:
Practice Address - Street 1:7 HALLECK DR
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:PA
Practice Address - Zip Code:17316-9353
Practice Address - Country:US
Practice Address - Phone:717-253-7068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health