Provider Demographics
NPI:1871742379
Name:COX LADNER, PATRICIA GAIL
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:GAIL
Last Name:COX LADNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 VALLEY DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9325
Mailing Address - Country:US
Mailing Address - Phone:805-242-6431
Mailing Address - Fax:805-961-1694
Practice Address - Street 1:267 VALLEY DAIRY RD
Practice Address - Street 2:
Practice Address - City:BUELLTON
Practice Address - State:CA
Practice Address - Zip Code:93427-9325
Practice Address - Country:US
Practice Address - Phone:805-252-6431
Practice Address - Fax:805-961-1694
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000009134OtherUPIN