Patty E Derosa is a Mental Health in Havre, Montana. Patty E Derosa practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Patty E Derosa is 1629268222. The last update date is 2007-07-30.
Patty E Derosa's current location address is 601 14th St., Havre, Montana. You can contact this provider via phone number 4062659671 and fax number 4062658460. The mailing address for Patty E Derosa is 601 14th St., Havre, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patty E Derosa |
|---|---|
| Address | 601 14th St., Havre, Montana |
| Phone Number | 4062659671 |
| Fax Number | 4062658460 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1629268222 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 601 14th St. |
|---|---|
| City | Havre |
| State | Montana (MT) |
| Post Code | 595015333 |
| Phone Number | 4062659671 |
| Fax Number | 4062658460 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 962 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 962 | MT | STATE OF MONTANA LICENSE |
Post Comment/ Review Below
What is the Patty E Derosa's unique identification number?
The Patty E Derosa has been assigned the NPI (National Provider Identifier) Number 1629268222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Patty E Derosa is geographically located?
The Patty E Derosa is physically situated at the following location: 601 14Th St., Havre, MT, 595015333.
What is Patty E Derosa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patty E Derosa is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did the Patty E Derosa receive its 1629268222 assignment from the Centers for Medicare & Medicaid Services?
The Patty E Derosa was assigned its 1629268222 by the Centers for Medicare & Medicaid Services on 2007-07-30.
As of what date were the details related to Patty E Derosa most recently updated or revised?
The information pertaining to Patty E Derosa, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-30.
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