Provider Demographics
NPI:1871898999
Name:PATTEN, JOANNA THOME (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:THOME
Last Name:PATTEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5371
Mailing Address - Street 2:M/S W3636
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5005
Mailing Address - Country:US
Mailing Address - Phone:206-987-3081
Mailing Address - Fax:206-987-2246
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M/S W3636
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-3081
Practice Address - Fax:206-987-2246
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60293068103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent