John Walter Patrick in Port Orange - Clinical
John Walter Patrick - NPI 1720015274
John Walter Patrick is a Clinical in Port Orange, Florida. John Walter Patrick practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Walter Patrick is 1720015274. The last update date is 2007-07-08.
John Walter Patrick's current location address is 5911 Riverside Dr, Port Orange, Florida. You can contact this provider via phone number 3867613101. The mailing address for John Walter Patrick is 5911 Riverside Dr, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Walter Patrick |
|---|---|
| Address | 5911 Riverside Dr, Port Orange, Florida |
| Phone Number | 3867613101 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720015274 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5911 Riverside Dr |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 321276445 |
| Phone Number | 3867613101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY3313 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the John Walter Patrick's 1720015274?
The John Walter Patrick's NPI (National Provider Identifier) Number is 1720015274. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Walter Patrick is physically located?
The John Walter Patrick is situated at the following address: 5911 Riverside Dr, Port Orange, FL 321276445.
What is John Walter Patrick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Walter Patrick is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1720015274 assigned to John Walter Patrick?
The John Walter Patrick was issued its 1720015274 on 2006-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Walter Patrick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Walter Patrick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.