Provider Demographics
NPI:1538928171
Name:PATTEN, KATHERINE SUSAN
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SUSAN
Last Name:PATTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 BUSTLETON PIKE
Mailing Address - Street 2:CO SHERLOCK LEGAL
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6483
Mailing Address - Country:US
Mailing Address - Phone:267-251-5284
Mailing Address - Fax:
Practice Address - Street 1:349 BUSTLETON PIKE
Practice Address - Street 2:CO SHERLOCK LEGAL
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6483
Practice Address - Country:US
Practice Address - Phone:267-251-5284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health