Patti F. Bornaman, M.A.
Individual provider Active NPI Marriage & Family Therapist · Shreveport, LA
NPI 1790798080 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790798080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 483 (LA)
- Practice address
- 9435 Mansfield Rd
Suite 3B
Shreveport, LA 71118-3859 - Phone
- (318) 686-0012
- Fax
- (318) 686-0012
- NPI assigned
- Aug 15, 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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Solutions, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 483 | LA | Yes |
Addresses
Primary practice location
9435 Mansfield Rd
Suite 3B
Shreveport, LA 71118-3859
Mailing address
9435 Mansfield Rd
Suite 3B
Shreveport, LA 71118-3859
Phone (318) 686-0012
Other providers in Shreveport, LA
- Randy Gerard Bordelon
- Evetta Lavern Borden
- Thomas W Borders
- Evelyn Bordovsky
- Allison Borel
- Alan John Borne
- Charlotte A Borst
- Cornelius Bos
- Joseph Houston Bosley
- Anand N Bosmia
All providers in Shreveport, LA · Marriage & Family Therapist in Louisiana
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.