Provider Demographics
NPI:1720450059
Name:PATRICIAN, TRISHA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:M
Last Name:PATRICIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6810 CLUBHOUSE DR APT L
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-7011
Mailing Address - Country:US
Mailing Address - Phone:315-727-9937
Mailing Address - Fax:
Practice Address - Street 1:25 N 32ND ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2918
Practice Address - Country:US
Practice Address - Phone:717-730-9782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist