Patton, Patricia Ellen

Patton, Patricia Ellen is an sole proprietor health care provider with primary practice located at 950 S Coast Dr Suite 110, Costa Mesa CA 92626-1776. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Patton, Patricia Ellen can be contacted via phone (714) 546-4406.

Contact Information

Primary practice address
950 S Coast Dr Suite 110 Costa Mesa CA 92626-1776
Phone: (714) 546-4406
Fax: (714) 546-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MJ17032 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12400 California

Profile Details

NPI number 1770660433
LBN Legal business name Patton, Patricia Ellen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 17 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 1770660433 NPPES
California MEDICAID PSY124000

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