MR. PATRICK ANTHONY TETRICK (NPI# 1861823619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861823619 |
| Entity Type | Individual |
| Full Name | MR. PATRICK ANTHONY TETRICK |
| Credential | MS, LPC |
| Practice Address |
1350 Spur Dr Ste 230 Marshfield MO 65706-2196 |
| Mailing Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 4177615900 |
| Practice Fax Number | 4178592645 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615065 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1350 SPUR DR STE 230 |
| City | MARSHFIELD |
| State | MO |
| Zip Code | 65706-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668252 | Natasha L Corkins | Counselor | 1350 Spur Dr Ste 230, Marshfield, MO 65706-2196 | 2017-06-05 |
| 1912397753 | Marissa L Casey | Psychologist | 1350 Spur Dr Ste 230, Marshfield, MO 65706-2196 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629260 | Larry Dean Skeen Jr. | Physical Therapist | 1245 Banning Street, Marshfield, MO 65706 | 2020-04-28 |
| 1194193870 | Shelly Bilyeu | Nurse Practitioner | 487 Pomme De Terre Drive, Marshfield, MO 65706 | 2015-09-11 |
| 1326415753 | Misook An Rissler | Dentist | 14303 W. State Hwy 38, Marshfield, MO 65706 | 2015-09-02 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| 1760867808 | Samuel Swisher | Optometrist | 14740 State Hwy 38, Marshfield, MO 65706 | 2015-07-29 |
| 1558671495 | Crystal Lyn Brokering | Social Worker | 782 Wiseman Rd., Marshfield, MO 65706 | 2010-10-13 |
| 1639370653 | Dennis Paul Billman | Counselor | 436 W Washington Street, Marshfield, MO 65706 | 2007-05-29 |
| 1417087461 | Jane E Yarnell | Speech-Language Pathologist | 170 State Highway Dd, Marshfield, MO 65706 | 2007-03-07 |
| 1982782306 | Donna Lea Currier | Optometrist | 1100 Spur Drive, Ste 220, Marshfield, MO 65706 | 2006-11-02 |
| 1376624015 | William Brian Bartow | Dentist | 547 West Jackson St, Marshfield, MO 65706 | 2006-10-18 |
| Find all providers in zip 65706 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306319058 | Debra Gudgeon | Counselor | 207 S Central Ave Ste B, Marshfield, WI 54449-2836 | 2019-01-05 |
| 1770063125 | Mythe Piper | Counselor | 2001 S Central Ave Ste A, Marshfield, WI 54449-4973 | 2018-08-15 |
| 1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
| 1235597212 | Open Door Counseling LLC | Counselor | 436 W Washington St, Marshfield, MO 65706-1649 | 2016-02-04 |
| 1619367992 | Tammy Stargardt | Counselor | 501 S Cherry Ave Ste 5, Marshfield, WI 54449-4263 | 2015-01-26 |
| 1194916312 | Daryl E Lace | Counselor | 104 E Madison St Ste 8, Marshfield, MO 65706-2135 | 2007-08-05 |
| 1639370653 | Dennis Paul Billman | Counselor | 436 W Washington Street, Marshfield, MO 65706 | 2007-05-29 |
| 1730247743 | Childrens Service Society | Counselor | 503 S Cherry Ave, Marshfield, WI 54449-4263 | 2006-12-04 |
| 1932127511 | Jeffrey Philip Ongna | Counselor | 302 Saint Joseph Ave, Suite 7, Marshfield, WI 54449-1800 | 2006-07-18 |
| 1760956700 | Foundation for Learning & Inspiring Health & Healing | Counselor | 421 Forest St, Marshfield, MA 02050-2335 | 2019-01-13 |
| Find all providers in MARSHFIELD | ||||
| City | MARSHFIELD |
| Zip Code | 65706 |
Please comment or provide details below to improve the information on MR. PATRICK ANTHONY TETRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.