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Individual

DR. PATRICK FRANCIS LAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
325 MARKET ST, SUITE 303, CHATTANOOGA, TN 37402-1226
(423) 778-9451
(423) 778-9453
Mailing address
612 VALLEY BRIDGE RD, CHATTANOOGA, TN 37415-3917
(423) 877-7232

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P 544
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3680768
GA
Enumeration date
07/17/2006
Last updated
07/08/2007
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