Provider Demographics
NPI:1912380866
Name:DEER, PATRICIA (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:DEER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:WITHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
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 1:22 ALBOUGH RD
Practice Address - Street 2:
Practice Address - City:BARKHAMSTED
Practice Address - State:CT
Practice Address - Zip Code:06063-3370
Practice Address - Country:US
Practice Address - Phone:203-770-5883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1489101YP2500X
NC69580101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional