Provider Demographics
NPI:1134436587
Name:POLITI, PATRICIA A
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:POLITI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 HIGHFIELD LN
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2439
Mailing Address - Country:US
Mailing Address - Phone:973-562-9540
Mailing Address - Fax:
Practice Address - Street 1:134 HIGHFIELD LN
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2439
Practice Address - Country:US
Practice Address - Phone:973-562-9540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical