Provider Demographics
NPI:1861212565
Name:RISHARD, STEVEN (MS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:RISHARD
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 S HEMBERGER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-2713
Mailing Address - Country:US
Mailing Address - Phone:646-245-9805
Mailing Address - Fax:
Practice Address - Street 1:994 OLD EAGLE SCHOOL RD STE 1000
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1802
Practice Address - Country:US
Practice Address - Phone:610-255-7180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health