Individual provider · Type 1 NPI
John Walter Patrick, PhD
Clinical Psychologist · Port Orange, FL
Practice location
4643 S Clyde Morris Blvd, Suite 306
Port Orange, FL 32129-6000
Mailing address
5911 Riverside Dr
Port Orange, FL 32127-6445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PY3313 (FL) |
Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1720015274
John Walter Patrick, PhD's National Provider Identifier is 1720015274, issued on Jun 27, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Port Orange, FL. The record was last updated on Jul 8, 2007.