Provider Demographics
NPI:1326140856
Name:DEMPSEY, PATRICIA IRENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:IRENE
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39707
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98496-3707
Mailing Address - Country:US
Mailing Address - Phone:253-691-5678
Mailing Address - Fax:
Practice Address - Street 1:4301 S PINE ST
Practice Address - Street 2:TACOMA MALL OFFICE BUILDING EXECUTIVE SUITE 30-01
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7264
Practice Address - Country:US
Practice Address - Phone:253-691-5678
Practice Address - Fax:253-830-2179
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH8927101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH8927OtherLICENSED MENTAL HEALTH CO