Provider Demographics
NPI:1184941502
Name:PATTERSON, DENA ERNESTINE (MSW, CADC, CPS, BHRS)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:ERNESTINE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MSW, CADC, CPS, BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 W HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-2561
Mailing Address - Country:US
Mailing Address - Phone:580-541-5521
Mailing Address - Fax:
Practice Address - Street 1:709 W HICKORY AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-2561
Practice Address - Country:US
Practice Address - Phone:580-541-5521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-25
Last Update Date:2025-08-12
Deactivation Date:2017-11-22
Deactivation Code:
Reactivation Date:2025-08-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation