Provider Demographics
NPI:1255402335
Name:OHARA, PATRICIA WYLIE (LMFT, LPC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:WYLIE
Last Name:OHARA
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-4591
Mailing Address - Country:US
Mailing Address - Phone:303-235-8946
Mailing Address - Fax:303-235-0834
Practice Address - Street 1:950 WADSWORTH BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-4591
Practice Address - Country:US
Practice Address - Phone:303-235-8946
Practice Address - Fax:303-235-0834
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2645101YP2500X
CO554106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist