Provider Demographics
NPI:1689644056
Name:PATTERSON, JOAN A (LCSW LMFT)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:A
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1625
Mailing Address - Country:US
Mailing Address - Phone:609-799-3035
Mailing Address - Fax:
Practice Address - Street 1:161 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-1625
Practice Address - Country:US
Practice Address - Phone:609-799-3035
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000298001041C0700X
NJ37FI00104600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ700920Medicare ID - Type Unspecified