Provider Demographics
NPI:1053513192
Name:MCCARTHY-HOHL, PATRICIA A (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:MCCARTHY-HOHL
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 GRAYTON ROAD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-9033
Mailing Address - Country:US
Mailing Address - Phone:716-835-6493
Mailing Address - Fax:
Practice Address - Street 1:147 GRAYTON RD
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9033
Practice Address - Country:US
Practice Address - Phone:716-835-6493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040078322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children