Provider Demographics
NPI:1760600837
Name:BAMFORD, PATRICIA DEVINE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:DEVINE
Last Name:BAMFORD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 HANDY ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-5825
Mailing Address - Country:US
Mailing Address - Phone:508-226-8810
Mailing Address - Fax:
Practice Address - Street 1:19 CEDAR ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3301
Practice Address - Country:US
Practice Address - Phone:508-823-6124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA386101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health