Individual
DR. JOSEPH RUSSELL PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16951 S OLD SOUOITA HWY, VAIL, AZ 85641
(520) 762-5298
(520) 762-5874
Mailing address
16951 S OLD SOUOITA HWY, VAIL, AZ 85641
(520) 762-5298
(520) 762-5874
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0639
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545189
—
AZ
Enumeration date
10/31/2006
Last updated
07/09/2007
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