Provider Demographics
NPI:1558626960
Name:BARRICK, RONALD (LPC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:BARRICK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 1/2 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3721
Mailing Address - Country:US
Mailing Address - Phone:717-451-7826
Mailing Address - Fax:717-633-9041
Practice Address - Street 1:405 1/2 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3721
Practice Address - Country:US
Practice Address - Phone:717-451-7826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional