Doctor Name: | MS. PATRICIA A. VISCONTI |
NPI Number: | 1699822684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHC |
License Number: | 001302 |
Business Practice Address: | 416 E.ast 14th Street Elmira Heights, NY - 14903 |
Business Phone Number: | 6077250129 |
Business Fax Number: | |
Mailing Address: | 463 Maple Ave, Apt 3 ELMIRA |
State: | NY |
Postal Code: | 149041450 |
Phone Number: | 6077250129 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |