Individual
JOHN THOMAS PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
3504 INVERNESS PKWY, COLUMBUS, GA 31909-1924
(850) 340-0123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004339
GA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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