Organization
ROBERT G PATTERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAE SCHAFFER (OFFICE MANAGER)
(605) 225-3622
Entity
Organization
Contact information
Practice address
405 8TH AVE NW, SUITE 333, ABERDEEN, SD 57401-2762
(605) 225-3622
(605) 229-2719
Mailing address
405 8TH AVE NW, SUITE 333, ABERDEEN, SD 57401-2762
(605) 225-3622
(605) 229-2719
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
149
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993775
BCBS
SD
05
—
6550013
—
SD
Enumeration date
02/08/2007
Last updated
08/22/2020
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