Provider Demographics
NPI:1629288147
Name:PATTERSON, JO ELLEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JO ELLEN
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USD,SOLES-MFT
Mailing Address - Street 2:5998 ALCALA PARK
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-2492
Mailing Address - Country:US
Mailing Address - Phone:619-260-2273
Mailing Address - Fax:619-260-6826
Practice Address - Street 1:USD,SOLES-MFT
Practice Address - Street 2:5998 ALCALA PARK
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2492
Practice Address - Country:US
Practice Address - Phone:619-260-2273
Practice Address - Fax:619-260-6826
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29682106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist