Provider Demographics
| NPI: | 1386190015 |
|---|---|
| Name: | HANRATTY, PATRICK |
| Entity type: | Individual |
| Prefix: | |
| First Name: | PATRICK |
| Middle Name: | |
| Last Name: | HANRATTY |
| Suffix: | |
| Gender: | M |
| Credentials: | |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 468 UPPER WEADLEY RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WAYNE |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 19087 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 480-231-3655 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 468 UPPER WEADLEY RD |
| Practice Address - Street 2: | |
| Practice Address - City: | WAYNE |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 19087 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 480-231-3655 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2016-09-01 |
| Last Update Date: | 2016-09-01 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) |
| No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family |
| No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities |
| No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |