Provider Demographics
NPI:1366776437
Name:SITTER, PATRICIA J (MED, LAPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:SITTER
Suffix:
Gender:F
Credentials:MED, LAPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:J
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 650
Mailing Address - Street 2:
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-0650
Mailing Address - Country:US
Mailing Address - Phone:701-477-8272
Mailing Address - Fax:701-477-8281
Practice Address - Street 1:113 MAIN AVE E
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:ND
Practice Address - Zip Code:58367-0088
Practice Address - Country:US
Practice Address - Phone:701-477-8272
Practice Address - Fax:701-477-8181
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND628-3-1509A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional