Provider Demographics
NPI:1396936258
Name:KOCHANOWSKI, PATRICK SEAN (BC-HIS, ACA)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:SEAN
Last Name:KOCHANOWSKI
Suffix:
Gender:M
Credentials:BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3779 NEWTON CT
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1108
Mailing Address - Country:US
Mailing Address - Phone:724-325-0079
Mailing Address - Fax:724-325-3320
Practice Address - Street 1:2791 LEECHBURG RD
Practice Address - Street 2:SUITE B
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3138
Practice Address - Country:US
Practice Address - Phone:724-339-9630
Practice Address - Fax:724-339-3890
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF-3020237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist