Provider Demographics
NPI:1639559560
Name:LAFAYETTE, PATRICIA J (MED)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:J
Last Name:LAFAYETTE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:125 TORRINGFORD WEST ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4068
Mailing Address - Country:US
Mailing Address - Phone:203-901-4979
Mailing Address - Fax:203-568-6422
Practice Address - Street 1:125 TORRINGFORD WEST ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4068
Practice Address - Country:US
Practice Address - Phone:203-901-4979
Practice Address - Fax:203-568-6422
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional