Provider Demographics
NPI:1841306404
Name:PATTEE, LINDA E (PHD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:E
Last Name:PATTEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-4474
Mailing Address - Country:US
Mailing Address - Phone:804-314-8835
Mailing Address - Fax:
Practice Address - Street 1:3234 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-4474
Practice Address - Country:US
Practice Address - Phone:804-314-8835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002107103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA002659G04Medicare PIN
P00618954Medicare PIN