Doctor Name: | MRS. PATRICIA ILENE PADGETT |
NPI Number: | 1134541857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S. |
License Number: | |
Business Practice Address: | 1410 S. Gin Rd Atoka, OK - 74525 |
Business Phone Number: | 5808893399 |
Business Fax Number: | 5808893887 |
Mailing Address: | 154 W Shady Ln, ATOKA |
State: | OK |
Postal Code: | 745254005 |
Phone Number: | 5802799591 |
Fax Number: | 5808893887 |
NPI Enumeration Date: | 01/15/2014 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |