Provider Demographics
NPI:1881682060
Name:COTTON, PATRICIA A (ED D)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:COTTON
Suffix:
Gender:F
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3115
Mailing Address - Country:US
Mailing Address - Phone:210-738-2037
Mailing Address - Fax:
Practice Address - Street 1:100 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3115
Practice Address - Country:US
Practice Address - Phone:210-738-2037
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC6099101Y00000X
TXLMFT2119034461106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004273190OtherAETNA
2150LCOtherBCBS
989163OtherNATL HA FOCUS
196146OtherVALUE OPTIONS
128720OtherMHN
TXOZ56471OZMedicaid