Provider Demographics
NPI:1467182220
Name:SSEKYOLE, PATRICK ATENYI
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:ATENYI
Last Name:SSEKYOLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BOSTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3075
Mailing Address - Country:US
Mailing Address - Phone:978-677-6354
Mailing Address - Fax:
Practice Address - Street 1:6 BOSTON RD STE 201
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3075
Practice Address - Country:US
Practice Address - Phone:978-677-6354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist