Provider Demographics
NPI:1821561234
Name:PAT DEER LLC
Entity Type:Organization
Organization Name:PAT DEER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-770-5883
Mailing Address - Street 1:22 ALBOUGH RD
Mailing Address - Street 2:
Mailing Address - City:BARKHAMSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06063-3370
Mailing Address - Country:US
Mailing Address - Phone:203-770-5883
Mailing Address - Fax:
Practice Address - Street 1:760 BANTAM RD
Practice Address - Street 2:
Practice Address - City:BANTAM
Practice Address - State:CT
Practice Address - Zip Code:06750-1603
Practice Address - Country:US
Practice Address - Phone:860-361-9333
Practice Address - Fax:860-361-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty