Provider Demographics
NPI:1295088714
Name:BROWN, PATRICIA C (LAMFT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15538 PARK TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-2427
Mailing Address - Country:US
Mailing Address - Phone:612-804-2554
Mailing Address - Fax:
Practice Address - Street 1:680 GAME FARM RD N
Practice Address - Street 2:
Practice Address - City:MINNETRISTA
Practice Address - State:MN
Practice Address - Zip Code:55359
Practice Address - Country:US
Practice Address - Phone:612-804-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2482106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist