Provider Demographics
NPI:1407288814
Name:PATTON, SONYA M (MMHC)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:M
Last Name:PATTON
Suffix:
Gender:F
Credentials:MMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 WILLIAM T MORRISSEY BLVD
Mailing Address - Street 2:SUITE 10, 2ND FLOOR
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-3406
Mailing Address - Country:US
Mailing Address - Phone:617-929-4000
Mailing Address - Fax:617-929-4001
Practice Address - Street 1:735 WILLIAM T MORRISSEY BLVD
Practice Address - Street 2:SUITE 10, 2ND FLOOR
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-3406
Practice Address - Country:US
Practice Address - Phone:617-929-4000
Practice Address - Fax:617-929-4001
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist