Provider Demographics
NPI:1295945913
Name:FOLLANSBEE, PATTI A (PHD, LMFT)
Entity type:Individual
Prefix:MS
First Name:PATTI
Middle Name:A
Last Name:FOLLANSBEE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-1901
Mailing Address - Country:US
Mailing Address - Phone:585-271-8915
Mailing Address - Fax:
Practice Address - Street 1:1441 EAST AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610-1665
Practice Address - Country:US
Practice Address - Phone:585-234-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist