Provider Demographics
NPI:1750428157
Name:WEATHERBEE, PATRICIA C (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:C
Last Name:WEATHERBEE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 KEASOR CT
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-3657
Mailing Address - Country:US
Mailing Address - Phone:603-998-7499
Mailing Address - Fax:
Practice Address - Street 1:29 KEASOR CT
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3657
Practice Address - Country:US
Practice Address - Phone:603-998-7499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7706646Y0NH01OtherANTHEM
NH3071343Medicaid