| Doctor Name: | THOMAS PATTERSON |
| NPI Number: | 1265718704 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2213-M |
| Business Practice Address: | 311 Morrow St N Mena, AR - 719532516 |
| Business Phone Number: | 4792432380 |
| Business Fax Number: | |
| Mailing Address: | 260 Polk 289, COVE |
| State: | AR |
| Postal Code: | 719379686 |
| Phone Number: | 4792166881 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2011 |
| NPI Last Update Date: | 10/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2213-M |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |