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Wendy Elaine Kishbaugh Patton

Counselor

Behavioral Health & Social Service Providers

4 Cornerstone Dr, Langhorne, PA 19047-1314

PECOS Enrollment

Based on the most recent information from CMS, provider Wendy Elaine Kishbaugh Patton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1174776272
Provider Type
Individual
Full Name
Kishbaugh Patton, Wendy Elaine
Credential
L.P.C.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/3/2008
Last Updated
8/1/2011

Contact Information

Practice Location

4 Cornerstone Dr, Langhorne, PA 19047-1314

(215) 757-6916

Unlisted Fax

Mailing Location

PO Box 324, Silverdale, PA 18962-0324

(541) 570-9284

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License PC005325 Pennsylvania
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License C2225 Oregon
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License C2225 Oregon
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License PC005325 Pennsylvania

Wendy Elaine Kishbaugh Patton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Wenke, Bethanie

Wolff-Patterson, Ian

Blase, Darren

Kramer, Erika

Trasken, Caryn

Mangan, Kyle William

Chun, Samuel

Prillman, Paula

Palmer, Allison

Spyker, Leah