Provider Demographics
NPI:1154980092
Name:PATCHET, CHRISTOPHER D
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:PATCHET
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 1:709 N 2ND STREET
Mailing Address - Street 2:SUITE 400 #1035
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3108
Mailing Address - Country:US
Mailing Address - Phone:619-459-8141
Mailing Address - Fax:267-465-6360
Practice Address - Street 1:709 N 2ND STREET
Practice Address - Street 2:SUITE 400 #1035
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-3219
Practice Address - Country:US
Practice Address - Phone:267-972-0365
Practice Address - Fax:267-465-6360
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009470281041C0700X
PACW0232651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical