Provider Demographics
NPI:1891550257
Name:PICHARDO, MINELY DEL SOCORRO (MFT)
Entity Type:Individual
Prefix:
First Name:MINELY
Middle Name:DEL SOCORRO
Last Name:PICHARDO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:MINELY
Other - Middle Name:DEL SSOCORRO
Other - Last Name:PICHARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:4 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-2820
Mailing Address - Country:US
Mailing Address - Phone:610-743-5190
Mailing Address - Fax:
Practice Address - Street 1:4 S 4TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-2820
Practice Address - Country:US
Practice Address - Phone:610-743-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health