MEDICARE: PATRICIA LEGATSKI MA LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	641	OK

General Provider Information

NPI Number	:	1215037254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LEGATSKI MA LMFT

Provider Business Mailing Address
First Line	:	520 W. 6TH ST.
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003
Country	:	US
Telephone Number	:	918-336-2400
Fax Number	:	918-336-2401

Provider Business Practice Location Address
First Line	:	520 W. 6TH ST.
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003
Country	:	US
Telephone Number	:	918-336-2400
Fax Number	:	918-336-2401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	03/15/2026

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