Provider Demographics
NPI:1790826519
Name:EATON, PATRICIA JANE II (BA)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JANE
Last Name:EATON
Suffix:II
Gender:F
Credentials:BA
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Mailing Address - Street 1:1524 BANYAN WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-3514
Mailing Address - Country:US
Mailing Address - Phone:865-544-5283
Mailing Address - Fax:865-544-5283
Practice Address - Street 1:9111 CROSS PARK DRIVE
Practice Address - Street 2:SUITE E-475
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4506
Practice Address - Country:US
Practice Address - Phone:865-250-2598
Practice Address - Fax:865-560-2580
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health