1861503096 NPI number — MS. PATRICIA K SCHLESINGER MFT; M.S.

Table of content: MS. PATRICIA K SCHLESINGER MFT; M.S. (NPI 1861503096)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861503096 NPI number — MS. PATRICIA K SCHLESINGER MFT; M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHLESINGER
Provider First Name:
PATRICIA
Provider Middle Name:
K
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MFT; M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALBRIGHT
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
K
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861503096
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5120 E LA PALMA AVE
Provider Second Line Business Mailing Address:
#204
Provider Business Mailing Address City Name:
ANAHEIM
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92807-2082
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-779-5722
Provider Business Mailing Address Fax Number:
714-779-7085

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5120 E LA PALMA AVE
Provider Second Line Business Practice Location Address:
#204
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92807-2082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-779-5722
Provider Business Practice Location Address Fax Number:
714-779-7085
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFT24643 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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