Doctor Name: | TYNYA DAWN PATTON |
NPI Number: | 1033443825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, MHSP |
License Number: | 2157 |
Business Practice Address: | 332 Sumner Hall Dr Gallatin, TN - 370663129 |
Business Phone Number: | 6154504600 |
Business Fax Number: | 6154604502 |
Mailing Address: | 332 Sumner Hall Dr, GALLATIN |
State: | TN |
Postal Code: | 370663129 |
Phone Number: | 6154504600 |
Fax Number: | 6154604502 |
NPI Enumeration Date: | 09/25/2009 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |