Patterson, Kathleen S

Patterson, Kathleen S is an sole proprietor health care provider with primary practice located at 1119 1St Ave Ne , Magee MS 39111-3111. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Patterson, Kathleen S can be contacted via phone (601) 466-8141.

Contact Information

Primary practice address
1119 1St Ave Ne Magee MS 39111-3111
Phone: (601) 466-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 33-514 Mississippi

Profile Details

NPI number 1831176940
LBN Legal business name Patterson, Kathleen S
Credentials PHD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Aug 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831176940 NPPES
Indiana Other 000000188309 ANTHEM BLUE CROSS
Indiana Other 343411 ANTHEM BLUE CROSS
Indiana MEDICAID 200226850 ANTHEM BLUE CROSS
Indiana Other 326003 ANTHEM BLUE CROSS

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