Provider Demographics
NPI: | 1386190015 |
---|---|
Name: | HANRATTY, PATRICK |
Entity type: | Individual |
Prefix: | |
First Name: | PATRICK |
Middle Name: | |
Last Name: | HANRATTY |
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: | 468 UPPER WEADLEY RD |
Mailing Address - Street 2: | |
Mailing Address - City: | WAYNE |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19087 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 480-231-3655 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 468 UPPER WEADLEY RD |
Practice Address - Street 2: | |
Practice Address - City: | WAYNE |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19087 |
Practice Address - Country: | US |
Practice Address - Phone: | 480-231-3655 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2016-09-01 |
Last Update Date: | 2016-09-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities |
No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |