Provider Demographics
NPI:1184751406
Name:DOBRYDNIO, PATRICIA BREWIN (EDS,LCADC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:BREWIN
Last Name:DOBRYDNIO
Suffix:
Gender:
Credentials:EDS,LCADC
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:MARY
Other - Last Name:BREWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS,LCADC
Mailing Address - Street 1:47 MAPLE ST
Mailing Address - Street 2:SUITE L-25
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2571
Mailing Address - Country:US
Mailing Address - Phone:908-273-7866
Mailing Address - Fax:908-464-5885
Practice Address - Street 1:47 MAPLE ST
Practice Address - Street 2:SUITE L-25
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2571
Practice Address - Country:US
Practice Address - Phone:908-273-7866
Practice Address - Fax:908-464-5885
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00096700101YA0400X
NJ37F100096500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist