Provider Demographics
NPI:1992952956
Name:HARING, PATRICIA J
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:HARING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 N KESWICK AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4803
Mailing Address - Country:US
Mailing Address - Phone:215-887-9901
Mailing Address - Fax:215-887-9909
Practice Address - Street 1:247 N KESWICK AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4803
Practice Address - Country:US
Practice Address - Phone:215-887-9901
Practice Address - Fax:215-887-9909
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA935972225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist