Provider Demographics
NPI:1174740195
Name:PATTERSON, DONA M (LMF)
Entity type:Individual
Prefix:
First Name:DONA
Middle Name:M
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 PARKWOOD AVE
Mailing Address - Street 2:304
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205
Mailing Address - Country:US
Mailing Address - Phone:704-333-2033
Mailing Address - Fax:
Practice Address - Street 1:700 PARKWOOD AVE
Practice Address - Street 2:304
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205
Practice Address - Country:US
Practice Address - Phone:704-333-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC306106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist