Doctor Name: | MRS. ABBY LYNN PATTISON |
NPI Number: | 1174791479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CN |
License Number: | RC00059067 |
Business Practice Address: | 810 Jasmine St Omak, WA - 988419578 |
Business Phone Number: | 5098261760 |
Business Fax Number: | |
Mailing Address: | Po Box 1043, WINTHROP |
State: | WA |
Postal Code: | 988621043 |
Phone Number: | 2063722210 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RC00059067 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |