Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICIA S CORREA-ILLIDGE, LSW
ActiveMental Health Counselor · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1598715179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2006 (19.955020154776 yrs)
- Last Updated
- Nov 1, 2015
- License
-
SW008617L (PA)
Practice Information
- Address
-
4510 FRANKFORD AVE2ND FLOORPHILADELPHIA, PA, 191243602Browse PA providers · Browse ZIP 19124
- Phone
- 2158319882
- Fax
- 2158319887
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MAXIMILIEN RODOLFO ESPINAL | MD | 1659334407 |
| SHARON GREEN | LCSW | 1336191923 |
| ALISHA KATZ | LCSW | 1518906379 |
| ELIZABETH ANN BYRNE | LPC | 1881636934 |
| CAROL CAMPBELL | PHD | 1972545192 |
| ELLEN WATSON | LCSW | 1043247638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.