Individual
DR. PATRICK SEAN O'MAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 SOMDG- SGHQ, 113 LEILMANIS AVE, HURLBURT FIELD, FL 32544
(850) 884-8827
Mailing address
4403 WINDLAKE DR, NICEVILLE, FL 32578-4812
(850) 884-8827
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1172
AL
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
11/06/2006
Last updated
07/14/2023
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