Provider Demographics
NPI:1295556793
Name:MCQUEEN, PATRIKA
Entity type:Individual
Prefix:MS
First Name:PATRIKA
Middle Name:
Last Name:MCQUEEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 ESTATES BLVD APT 284
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-2126
Mailing Address - Country:US
Mailing Address - Phone:609-227-1269
Mailing Address - Fax:
Practice Address - Street 1:141 ESTATES BLVD APT 284
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-2126
Practice Address - Country:US
Practice Address - Phone:609-227-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoula