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Individual

DR. PETER CHARLES PATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
21 PARK ST STE 217, ATTLEBORO, MA 02703-2315
(781) 929-0553
Mailing address
21 PARK ST STE 217, ATTLEBORO, MA 02703-2315
(781) 929-0553

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7970
MA
103TC0700X
Clinical Psychologist
PS00803
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0501999
MA
Enumeration date
08/07/2006
Last updated
07/09/2007
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