1992779193 NPI number — DR. PATRICIA LYNNE OLSEN MCAULEY PH.D.

Table of content: DR. PATRICIA LYNNE OLSEN MCAULEY PH.D. (NPI 1992779193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992779193 NPI number — DR. PATRICIA LYNNE OLSEN MCAULEY PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCAULEY
Provider First Name:
PATRICIA LYNNE
Provider Middle Name:
OLSEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCAULEY
Provider Other First Name:
LYNNE
Provider Other Middle Name:
OLSEN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1992779193
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
309 E DARK HOLLOW RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PIPERSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18947-9375
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-766-1356
Provider Business Mailing Address Fax Number:
215-766-1356

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
182 W COURT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOYLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18901-4106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-766-1356
Provider Business Practice Location Address Fax Number:
215-766-1356
Provider Enumeration Date:
02/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  009462 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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