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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN WALTER PATRICK, PH.D.

Active Sole Proprietor

JOHN WALTER PATRICK, PH.D. is a Clinical Psychologist healthcare provider located in PORT ORANGE, Florida. NPI 1720015274 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PORT ORANGE, FL

Registration Details

NPI Number
1720015274
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2006 (20.10789416611 yrs)
Last Updated
Jul 8, 2007
License
PY3313 (FL)
Sole Proprietor
Yes

Practice Information

Address
4643 S CLYDE MORRIS BLVD
SUITE 306
PORT ORANGE, FL, 321296000
Browse FL providers · Browse ZIP 32129
Phone
3867613101
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in PORT ORANGE, FL

Name Credential NPI
DR. PATRICIA E. HUNTER PSYD 1518929504
DR. DAVID MCGRATH BALDWIN JR. PH.D. 1063616688
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.