Provider Demographics
NPI:1114115334
Name:PATTERSON, LISA N (MA)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:N
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 CRESTMOOR RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2032
Mailing Address - Country:US
Mailing Address - Phone:615-298-2329
Mailing Address - Fax:615-298-1248
Practice Address - Street 1:2400 CRESTMOOR RD
Practice Address - Street 2:SUITE 210
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2032
Practice Address - Country:US
Practice Address - Phone:615-298-2329
Practice Address - Fax:615-298-1248
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE0000011350103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical