Provider Demographics
NPI:1497775795
Name:PATTERSON-RHORER, CYNTHIA LEE (LMFT LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LEE
Last Name:PATTERSON-RHORER
Suffix:
Gender:F
Credentials:LMFT LCSW
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:LEE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMFT CICSW
Mailing Address - Street 1:2350 SOUTH AVENUE
Mailing Address - Street 2:STE 102
Mailing Address - City:LACROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601
Mailing Address - Country:US
Mailing Address - Phone:608-787-6645
Mailing Address - Fax:608-787-6658
Practice Address - Street 1:2350 SOUTH AVENUE
Practice Address - Street 2:STE 102
Practice Address - City:LACROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601
Practice Address - Country:US
Practice Address - Phone:608-787-6645
Practice Address - Fax:608-787-6658
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3401103T00000X
WI300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39714100Medicaid