Provider Demographics
NPI:1801958475
Name:RATTIGAN, MICHELE DAWN (MA, ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:DAWN
Last Name:RATTIGAN
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:739 S WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1659
Mailing Address - Country:US
Mailing Address - Phone:856-547-9200
Mailing Address - Fax:856-547-9220
Practice Address - Street 1:739 S WHITE HORSE PIKE
Practice Address - Street 2:SUITE 8
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1659
Practice Address - Country:US
Practice Address - Phone:856-547-9200
Practice Address - Fax:856-547-9220
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJPC-0380101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health