Provider Demographics
NPI:1891365573
Name:SUMMERS, PATRICIA ELLEN (MA, MFTC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ELLEN
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:MA, MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 E 148TH DR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-4005
Mailing Address - Country:US
Mailing Address - Phone:303-747-7444
Mailing Address - Fax:303-747-7956
Practice Address - Street 1:8131 E 148TH DR
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-4005
Practice Address - Country:US
Practice Address - Phone:303-747-7444
Practice Address - Fax:303-747-7956
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist