Provider Demographics
NPI:1245573930
Name:LITTWIN, PATRICIA (LPC, PSYD, CST)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:LITTWIN
Suffix:
Gender:F
Credentials:LPC, PSYD, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 AMELIA LN
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9457
Mailing Address - Country:US
Mailing Address - Phone:980-475-0560
Mailing Address - Fax:
Practice Address - Street 1:110 CHARLESTON DR UNIT 109-108
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7700
Practice Address - Country:US
Practice Address - Phone:980-444-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty