Individual
JOAN M PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1300 S 2ND ST, SUITE 300, MINNEAPOLIS, MN 55454-1075
(612) 624-1394
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455-0341
(612) 624-1394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1622
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491963
—
MT
01
—
160049
UCARE
MN
01
—
22L40PA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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