Healthcare Provider Details

I. General information

NPI: 1053603035
Provider Name (Legal Business Name): RALPH EDWARD PATTON DMFT, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 3RD AVE SE STE 402
ROCHESTER MN
55904-4613
US

IV. Provider business mailing address

300 3RD AVE SE STE 402
ROCHESTER MN
55904-4613
US

V. Phone/Fax

Practice location:
  • Phone: 507-884-6287
  • Fax: 507-206-0450
Mailing address:
  • Phone: 507-884-6287
  • Fax: 507-206-0450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: