Provider Demographics
NPI:1073057659
Name:RYAN Q PATTERSON MA LMHC PLLC
Entity Type:Organization
Organization Name:RYAN Q PATTERSON MA LMHC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMHC
Authorized Official - Phone:425-205-9332
Mailing Address - Street 1:8966 NE 148TH PL
Mailing Address - Street 2:SUITE 30
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4713
Mailing Address - Country:US
Mailing Address - Phone:425-205-9332
Mailing Address - Fax:888-232-6779
Practice Address - Street 1:11415 NE 128TH ST
Practice Address - Street 2:SUITE 30
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6314
Practice Address - Country:US
Practice Address - Phone:425-205-9332
Practice Address - Fax:888-232-6779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60271324101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty