Individual
DR. PATRICK MARIO WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5900
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041606A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200529460
—
IN
Enumeration date
06/10/2006
Last updated
06/25/2015
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