Provider Demographics
NPI:1851632848
Name:SINGER, PATTY
Entity Type:Individual
Prefix:MRS
First Name:PATTY
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PATTY
Other - Middle Name:
Other - Last Name:GOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4091
Mailing Address - Street 2:8649 NORTH 12TH STREET
Mailing Address - City:SUN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86029-4091
Mailing Address - Country:US
Mailing Address - Phone:928-524-2681
Mailing Address - Fax:
Practice Address - Street 1:8649 NORTH 12TH STREET
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86029-4091
Practice Address - Country:US
Practice Address - Phone:928-524-2681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA67532355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant