Individual
DR. NICHOLAS STEPHEN PATAPIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
8400 ROOSEVELT BLVD, SUITE 206, PHILADELPHIA, PA 19152-2081
(215) 333-7562
Mailing address
8400 ROOSEVELT BLVD, SUITE 206, PHILADELPHIA, PA 19152-2081
(215) 333-7562
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS015537
PA
103TC0700X
Clinical Psychologist
Primary
PS015537
PA
103TF0200X
Forensic Psychologist
PS015537
PA
Other
Enumeration date
05/14/2008
Last updated
05/05/2016
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