Provider Demographics
NPI:1699882274
Name:PATAKY, SUSAN PARRIS (LCSW, MPH, BCD)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:PARRIS
Last Name:PATAKY
Suffix:
Gender:F
Credentials:LCSW, MPH, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VAPHS MD131A
Mailing Address - Street 2:UNIVERSITY DR. C
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15240
Mailing Address - Country:US
Mailing Address - Phone:412-784-3567
Mailing Address - Fax:
Practice Address - Street 1:VAPHS MD131A
Practice Address - Street 2:UNIVERSITY DR. C
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-784-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW129591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical