Provider Demographics
NPI:1851615348
Name:PATTERSON, JANET M (MSW, CAPSW, MFT)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MSW, CAPSW, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 GENESEE ST.
Mailing Address - Street 2:301
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-1801
Mailing Address - Country:US
Mailing Address - Phone:262-337-1437
Mailing Address - Fax:262-367-7470
Practice Address - Street 1:400 GENESEE ST.
Practice Address - Street 2:SUITE 301
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-1801
Practice Address - Country:US
Practice Address - Phone:262-337-1437
Practice Address - Fax:262-367-7470
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI127993-121106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist