National Provider Identifier

Patrina M Vansickle, MSW

Patrina M Vansickle, MSW is listed in the NPPES registry with a primary specialty of Counselor in Olean, NY and a listed phone number of (716) 373-8040.

NPI 1336469329Olean, NYCounselor

Profile Overview

NPI
1336469329
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
June 02, 2010
Last Updated
June 02, 2010

Practice Location

  • 1 Leo Moss Dr
  • Suite 4308
  • Olean, NY 14760-1100

Phone: (716) 373-8040

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1336469329
Entity Type
Individual
Last Name
Vansickle
First Name
Patrina
Middle Name
M
Credential
MSW
Mailing Street Address
1 Leo Moss Dr
Mailing Address Line 2
Suite 4308
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1100
Mailing Country
US
Mailing Phone
(716) 373-8040
Mailing Fax
(716) 701-3329
Practice Street Address
1 Leo Moss Dr
Practice Address Line 2
Suite 4308
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1100
Practice Country
US
Practice Phone
(716) 373-8040
Practice Fax
(716) 701-3329
Enumeration Date
June 02, 2010
Last Updated
June 02, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)
Other Identifiers
00635098 (NY)