Provider Demographics
NPI:1215926894
Name:PATERSON, BARBARA ANN (LCPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:PATERSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2252
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-8252
Mailing Address - Country:US
Mailing Address - Phone:301-997-1494
Mailing Address - Fax:301-997-1497
Practice Address - Street 1:41625 PARK AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2003
Practice Address - Country:US
Practice Address - Phone:301-997-1494
Practice Address - Fax:301-997-1497
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1976101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health