Provider Demographics
NPI:1396811840
Name:PARDINI-BARRETT, PATTIE MARY JANE (MA MFT)
Entity type:Individual
Prefix:MS
First Name:PATTIE
Middle Name:MARY JANE
Last Name:PARDINI-BARRETT
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 RIO LINDO
Mailing Address - Street 2:#204
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-895-6516
Mailing Address - Fax:530-879-3949
Practice Address - Street 1:564 RIO LINDO
Practice Address - Street 2:SUITE 204
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-895-6516
Practice Address - Fax:530-879-3949
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42568106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist