Joseph Russell Patterson in Vail - Psychologist

Joseph Russell Patterson - NPI 1225114457

Joseph Russell Patterson is a Psychologist in Vail, Arizona. Joseph Russell Patterson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Joseph Russell Patterson is 1225114457. The last update date is 2007-07-09.

Joseph Russell Patterson's current location address is 16951 S Old Souoita Hwy, Vail, Arizona. You can contact this provider via phone number 5207625298 and fax number 5207625874. The mailing address for Joseph Russell Patterson is 16951 S Old Souoita Hwy, Vail, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Russell Patterson
Address 16951 S Old Souoita Hwy, Vail, Arizona
Phone Number 5207625298
Fax Number 5207625874
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1225114457
Provider Enumeration Date 2006-10-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 16951 S Old Souoita Hwy
City Vail
State Arizona (AZ)
Post Code 85641
Phone Number 5207625298
Fax Number 5207625874

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 639
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
545189 AZ --

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FAQs about Joseph Russell Patterson

What is the unique identification code assigned to Joseph Russell Patterson by the Centers for Medicare & Medicaid Services?

The Joseph Russell Patterson has been issued the NPI (National Provider Identifier) 1225114457. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Joseph Russell Patterson?

The Joseph Russell Patterson is situated at 16951 S Old Souoita Hwy, in the city of Vail, state of AZ, with the zip code 85641.

What is Joseph Russell Patterson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Joseph Russell Patterson's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date was the 1225114457 assigned to Joseph Russell Patterson?

The Joseph Russell Patterson was issued its 1225114457 on 2006-10-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Joseph Russell Patterson most recently updated or revised?

The details related to Joseph Russell Patterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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