Individual
DR. DEBRA JORDAN PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
771
AL
103TC0700X
Clinical Psychologist
Primary
771
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000074849
—
AL
05
—
000074851
—
AL
01
—
1871667998
TRICARE SOUTH
AL
01
—
510-74849
BCBS
AL
01
—
510-74851
BCBS
AL
01
—
515-02328
FEDERAL BC
AL
Enumeration date
11/20/2006
Last updated
05/12/2010
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