Provider Demographics
NPI:1700071792
Name:PATTEN, TODD ALAN (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:ALAN
Last Name:PATTEN
Suffix:
Gender:M
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E. CENTER
Mailing Address - Street 2:HU BOX 12254
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72149-5615
Mailing Address - Country:US
Mailing Address - Phone:501-279-4378
Mailing Address - Fax:501-279-4051
Practice Address - Street 1:915 E MARKET AVE
Practice Address - Street 2:HU BOX 12254
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72149-5615
Practice Address - Country:US
Practice Address - Phone:501-279-4378
Practice Address - Fax:501-279-4051
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0507043101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional