Provider Demographics
NPI:1508997057
Name:PATTISON, GRETCHEN ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:ELIZABETH
Last Name:PATTISON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:GRETCHEN
Other - Middle Name:ELIZABETH
Other - Last Name:THIEMECKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:WALTER REED NATIONAL MILITARY CTR
Mailing Address - Street 2:CHILD AND ADOLESCENT BEHAVIORAL HEALTH
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-0576
Mailing Address - Fax:
Practice Address - Street 1:WALTER REED NATIONAL MILITARY CTR
Practice Address - Street 2:CHILD AND ADOLESCENT BEHAVIORAL HEALTH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-0576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A 98302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry