Cynthia Lee Patterson-Rhorer, LMFT LCSW
Individual provider Active NPI Psychologist · Lacrosse, WI
NPI 1497775795 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497775795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 300 (WI)
- Practice address
- 2350 South Avenue
Ste 102
Lacrosse, WI 54601 - Phone
- (608) 787-6645
- Fax
- (608) 787-6658
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changes and Choices Inc | Psychologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3401 | WI | |
| Psychologist | 103T00000X | 300 | WI | Yes |
Addresses
Primary practice location
2350 South Avenue
Ste 102
Lacrosse, WI 54601
Mailing address
2350 South Avenue
Ste 102
Lacrosse, WI 54601
Phone (608) 787-6645
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39714100 | Medicaid | WI |
Other names
- Mrs. Cynthia Lee Patterson
Other providers in Lacrosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.