Provider Demographics
NPI:1922886050
Name:RICKARDS, CAROLINE QUINN (SCHOOL COUNSELOR)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:QUINN
Last Name:RICKARDS
Suffix:
Gender:F
Credentials:SCHOOL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-2315
Mailing Address - Country:US
Mailing Address - Phone:610-291-4396
Mailing Address - Fax:
Practice Address - Street 1:135 2ND AVE
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-2315
Practice Address - Country:US
Practice Address - Phone:610-291-4396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2636045101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool