Provider Demographics
NPI:1275931149
Name:HAAR-PATTON, JULIE ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:HAAR-PATTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:HAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:14202 20TH AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11351-3000
Mailing Address - Country:US
Mailing Address - Phone:347-542-5633
Mailing Address - Fax:718-445-5788
Practice Address - Street 1:14202 20TH AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11351-3000
Practice Address - Country:US
Practice Address - Phone:347-542-5633
Practice Address - Fax:718-445-5788
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health