Provider Demographics
NPI:1760038723
Name:ZEYHER, PATRICA ANNE (LPC, NCC, MA MA)
Entity Type:Individual
Prefix:
First Name:PATRICA
Middle Name:ANNE
Last Name:ZEYHER
Suffix:
Gender:M
Credentials:LPC, NCC, MA MA
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:MARIE
Other - Last Name:ZEYHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, NCC, MA MA
Mailing Address - Street 1:350 TERRY ST STE 320
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5490
Mailing Address - Country:US
Mailing Address - Phone:970-310-3406
Mailing Address - Fax:
Practice Address - Street 1:350 TERRY ST STE 320
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5490
Practice Address - Country:US
Practice Address - Phone:970-310-3406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017662101YM0800X
101YM0800X
COLPC.0019815101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health