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NPI Code Detail

MEDICARE: MRS. DENISE PEREZ PATTERSON MFT

MEDICARE: MRS. DENISE PEREZ PATTERSON MFT
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
1106H00000XMarriage & Family TherapistMFT47791CA

General Provider Information

NPI Number : 1871930156
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE PEREZ PATTERSON MFT
Provider Business Mailing Address
First Line : 300 W WINTON AVE
Second Line :
City : HAYWARD
State : CA
Zip : 94544-1137
Country : US
Telephone Number : 510-293-7048
Fax Number :
Provider Business Practice Location Address
First Line : 300 W WINTON AVE
Second Line :
City : HAYWARD
State : CA
Zip : 94544-1137
Country : US
Telephone Number : 510-293-7048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2013
Last Update Date : 05/28/2013

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Directions to “ MRS. DENISE PEREZ PATTERSON MFT” Practice Location

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