Provider Demographics
NPI:1942030796
Name:LAKOMY, PATRICIA DEVEN (MS PSYCHOLOGY)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DEVEN
Last Name:LAKOMY
Suffix:
Gender:F
Credentials:MS PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:18 CRYSTAL DR
Mailing Address - Street 2:
Mailing Address - City:EAST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06026-8706
Mailing Address - Country:US
Mailing Address - Phone:860-844-8583
Mailing Address - Fax:
Practice Address - Street 1:175 DWIGHT RD UNIT 201B
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1576
Practice Address - Country:US
Practice Address - Phone:413-237-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health