Provider Demographics
NPI:1609218544
Name:PATE, PAULA L (LCMFT)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:L
Last Name:PATE
Suffix:
Gender:
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S WHITTIER RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-1045
Mailing Address - Country:US
Mailing Address - Phone:316-689-4293
Mailing Address - Fax:316-252-1254
Practice Address - Street 1:111 S WHITTIER RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-1045
Practice Address - Country:US
Practice Address - Phone:316-689-4293
Practice Address - Fax:316-252-1254
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2738106H00000X
KS2480106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist