Provider Demographics
NPI:1902675333
Name:MCCUNE, RICHARD BARRY
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:BARRY
Last Name:MCCUNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 OLD PHILADELPHIA PIKE UNIT C
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2676
Mailing Address - Country:US
Mailing Address - Phone:814-810-8626
Mailing Address - Fax:717-666-7106
Practice Address - Street 1:1661 OLD PHILADELPHIA PIKE UNIT C
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2676
Practice Address - Country:US
Practice Address - Phone:814-810-8626
Practice Address - Fax:717-666-7106
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst