Individual
DR. IVOR PATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., P.C., ARNP
Contact information
Practice address
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR, WEYMOUTH, MA 02189-3101
(781) 682-1060
(781) 682-1061
Mailing address
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR, WEYMOUTH, MA 02189-3101
(781) 682-1060
(781) 682-1061
Taxonomy
Speciality
Code
Description
License number
State
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
Primary
143599
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8301014
EVERCARE PROVIDER NUMBER
MA
01
—
PN0635
BCBS PROVIDER NUMBER
MA
Enumeration date
10/17/2006
Last updated
07/08/2007
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