Provider Demographics
NPI:1588922660
Name:PATTEN, RYAN VAN
Entity type:Individual
Prefix:MISS
First Name:RYAN
Middle Name:VAN
Last Name:PATTEN
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 1:731 CANYON COUNTRY CIR
Mailing Address - Street 2:VAN PATTEN
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-9566
Mailing Address - Country:US
Mailing Address - Phone:702-249-9092
Mailing Address - Fax:
Practice Address - Street 1:731 CANYON COUNTRY CIR
Practice Address - Street 2:VAN PATTEN
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-9566
Practice Address - Country:US
Practice Address - Phone:702-249-9092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor