Provider Demographics
NPI:1154564458
Name:MCGARRIGLE, TRICIA A (RN, LPC)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:A
Last Name:MCGARRIGLE
Suffix:
Gender:F
Credentials:RN, LPC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:A
Other - Last Name:MCGARRIGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, LPC
Mailing Address - Street 1:501 CAMBRIA AVE STE 132
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7213
Mailing Address - Country:US
Mailing Address - Phone:215-650-7790
Mailing Address - Fax:
Practice Address - Street 1:501 CAMBRIA AVE STE 132
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7213
Practice Address - Country:US
Practice Address - Phone:215-650-7790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN514146163W00000X
PAPC007231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse