MEDICARE: MRS. MARLYS PATTERSON MT-BC

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	225A00000X	Music Therapist	10644	CA
2	106H00000X	Marriage & Family Therapist	0002858	CO
3	106H00000X	Marriage & Family Therapist	125919	CA

General Provider Information

NPI Number	:	1619304276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARLYS PATTERSON MT-BC

Provider Business Mailing Address
First Line	:	163 YATES ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-1034
Country	:	US
Telephone Number	:	714-269-4178
Fax Number	:

Provider Business Practice Location Address
First Line	:	163 YATES ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-1034
Country	:	US
Telephone Number	:	714-269-4178
Fax Number	:

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

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	06/02/2026

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