Individual
PETER D. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
417 EMMET STREET, SOUTH, CHARLOTTESVILLE, VA 22904-4270
(434) 924-7034
(434) 924-4621
Mailing address
417 EMMET STREET, S, P.O. BOX 400270, CHARLOTTESVILLE, VA 22904-4270
(434) 924-7034
(434) 924-4621
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000756
VA
Other
Enumeration date
11/07/2006
Last updated
08/07/2014
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