Provider Demographics
NPI:1447280201
Name:RIEKER, PATRICK (PSYD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:RIEKER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 S WATER ST
Mailing Address - Street 2:APT. E
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-2323
Mailing Address - Country:US
Mailing Address - Phone:717-583-1993
Mailing Address - Fax:
Practice Address - Street 1:5351 JAYCEE AVE # C
Practice Address - Street 2:SUITE #1
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2938
Practice Address - Country:US
Practice Address - Phone:717-545-1745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015018103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical