Provider Demographics
NPI:1295520773
Name:PATTON, MONICA (M ED)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1998 COUNTY ROAD 51
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35968-4010
Mailing Address - Country:US
Mailing Address - Phone:256-572-2453
Mailing Address - Fax:
Practice Address - Street 1:104 ALABAMA AVE NW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-2052
Practice Address - Country:US
Practice Address - Phone:256-997-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL04609106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist