Provider Demographics
NPI:1306347240
Name:COMBS, PATRICIA RENEE
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:RENEE
Last Name:COMBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 SUMMIT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WALKER LAKE
Mailing Address - State:NV
Mailing Address - Zip Code:89415-9642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:137 SUMMIT VIEW DR
Practice Address - Street 2:
Practice Address - City:WALKER LAKE
Practice Address - State:NV
Practice Address - Zip Code:89415-9642
Practice Address - Country:US
Practice Address - Phone:775-530-5655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst