Provider Demographics
NPI:1710500988
Name:CUMMINGS, PATRICIA O'ROURKE (NCC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:O'ROURKE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 STEVENSON RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-8977
Mailing Address - Country:US
Mailing Address - Phone:570-498-4274
Mailing Address - Fax:
Practice Address - Street 1:327 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1549
Practice Address - Country:US
Practice Address - Phone:570-498-4274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health