Individual
GREGORY S PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSPP
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041112A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200301320A
—
IN
Enumeration date
02/28/2006
Last updated
12/12/2018
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