Provider Demographics
NPI:1750630976
Name:PALMER PATTERSON, WENDY (MSW)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:PALMER PATTERSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 EUCLID AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2532
Mailing Address - Country:US
Mailing Address - Phone:404-584-7500
Mailing Address - Fax:
Practice Address - Street 1:956 EUCLID AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2532
Practice Address - Country:US
Practice Address - Phone:404-584-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW000663101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor