Provider Demographics
NPI:1497865356
Name:ALLISON, PATRICIA KAY (DR)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:KAY
Last Name:ALLISON
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7861 ANDREW LN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:WA
Mailing Address - Zip Code:98236-9416
Mailing Address - Country:US
Mailing Address - Phone:360-579-9350
Mailing Address - Fax:
Practice Address - Street 1:7861 ANDREW LN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:WA
Practice Address - Zip Code:98236-9416
Practice Address - Country:US
Practice Address - Phone:360-579-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00005797101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health