Individual
DR. GARY LEE PATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7767 LIVE OAKS DR, DENVER, NC 28037-7410
(704) 483-9469
(704) 483-9469
Mailing address
7767 LIVE OAKS DR, DENVER, NC 28037-7410
(704) 483-9469
(704) 483-9469
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1241
PSYCHOLOGY LICENSE NUMBER
NC
Enumeration date
12/13/2005
Last updated
07/08/2007
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