Provider Demographics
NPI:1275767360
Name:VAN PATTEN, PILAR CORAH (LMFT)
Entity Type:Individual
Prefix:
First Name:PILAR
Middle Name:CORAH
Last Name:VAN PATTEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:PILAR
Other - Middle Name:CORAH
Other - Last Name:SEIDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:789 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-742-9200
Mailing Address - Fax:603-742-4605
Practice Address - Street 1:10 MEMBERS WAY
Practice Address - Street 2:SUITE 401
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-5933
Practice Address - Country:US
Practice Address - Phone:603-742-9200
Practice Address - Fax:603-742-4605
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH150106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3083943Medicaid
7706655Y0NH01OtherANTHEM
NH1013092857OtherAGENCY NPI
NHNH3227Medicare PIN