| Doctor Name: | MS. PATRICIA ELLEN LONERGAN |
| NPI Number: | 1053612465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.H.C. |
| License Number: | 7472 |
| Business Practice Address: | 148 Worcester St West Boylston, MA - 015831751 |
| Business Phone Number: | 5088351735 |
| Business Fax Number: | 5088351736 |
| Mailing Address: | 148 Worcester St, WEST BOYLSTON |
| State: | MA |
| Postal Code: | 015831751 |
| Phone Number: | 5088351735 |
| Fax Number: | 5088351736 |
| NPI Enumeration Date: | 11/16/2010 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |