Provider Demographics
NPI:1134950082
Name:PAT SOMERS PHD LCPC PC
Entity type:Organization
Organization Name:PAT SOMERS PHD LCPC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-246-6988
Mailing Address - Street 1:615 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5039
Mailing Address - Country:US
Mailing Address - Phone:630-246-6988
Mailing Address - Fax:630-246-6988
Practice Address - Street 1:615 W FRONT ST
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5039
Practice Address - Country:US
Practice Address - Phone:630-246-6988
Practice Address - Fax:630-246-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health