Provider Demographics
NPI:1467731463
Name:PATTERSON, VALIA MARJORIE (SEIT)
Entity Type:Individual
Prefix:MS
First Name:VALIA
Middle Name:MARJORIE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:SEIT
Other - Prefix:MS
Other - First Name:VALIA
Other - Middle Name:MARJORIE
Other - Last Name:HOFFMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:32 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7789
Mailing Address - Country:US
Mailing Address - Phone:347-581-4673
Mailing Address - Fax:
Practice Address - Street 1:32 MONROE STREET
Practice Address - Street 2:APARTMENT 12J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7888
Practice Address - Country:US
Practice Address - Phone:347-581-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst