Provider Demographics
NPI:1013045020
Name:PATTERSON, JUDITH ELIZABETH (MA)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ELIZABETH
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 PENN LYLE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JCT
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1647
Mailing Address - Country:US
Mailing Address - Phone:609-799-7611
Mailing Address - Fax:
Practice Address - Street 1:41 STEINERT AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-2915
Practice Address - Country:US
Practice Address - Phone:609-890-2527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor