Individual
DR. STEVEN R PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
617 N HUMPHREYS ST, SUITE 101, FLAGSTAFF, AZ 86001-3063
(928) 779-3783
(928) 773-1150
Mailing address
617 N HUMPHREYS ST STE 101, FLAGSTAFF, AZ 86001-3063
(928) 779-3783
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3396
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533390
—
AZ
Enumeration date
03/15/2006
Last updated
03/27/2008
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