Healthcare Provider Details

I. General information

NPI: 1265757975
Provider Name (Legal Business Name): PATRICIA ELLEN TOZER SITTSER RN, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH AVE SUITE 332C
SPOKANE WA
99204-2302
US

IV. Provider business mailing address

10103 N. DIVISION SUITE 109
SPOKANE WA
99218
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-7400
  • Fax: 509-838-6827
Mailing address:
  • Phone: 509-467-1156
  • Fax: 509-468-0462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60124974
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00073868
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: