Doctor Name: | PATRICIA L. CAVANAGH |
NPI Number: | 1235474875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N., L.I.S.A.C. |
License Number: | LISAC#1435 |
Business Practice Address: | 849 Cove Pkwy Suite A Cottonwood, AZ - 863264682 |
Business Phone Number: | 9286394389 |
Business Fax Number: | |
Mailing Address: | 849 Cove Pkwy, Suite A COTTONWOOD |
State: | AZ |
Postal Code: | 863264682 |
Phone Number: | 9286394389 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2012 |
NPI Last Update Date: | 12/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LISAC#1435 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |