Provider Demographics
NPI:1205932209
Name:PATANE, NORMA JOYCE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:JOYCE
Last Name:PATANE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 HEWITT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5215
Mailing Address - Country:US
Mailing Address - Phone:978-729-5508
Mailing Address - Fax:978-685-5565
Practice Address - Street 1:565 TURNPIKE ST
Practice Address - Street 2:STE 84
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5922
Practice Address - Country:US
Practice Address - Phone:978-729-5508
Practice Address - Fax:978-625-5565
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM1080OtherBLUE CROSS ID