| John Walter Patrick, PHD | |
|
4643 S Clyde Morris Blvd, Suite 306, Port Orange, FL 32129-6000 | |
| (386) 761-3101 | |
| Not Available |
| Full Name | John Walter Patrick |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 4643 S Clyde Morris Blvd, Port Orange, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720015274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3313 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Walter Patrick, PHD 5911 Riverside Dr, Port Orange, FL 32127-6445 Ph: (386) 761-3101 | John Walter Patrick, PHD 4643 S Clyde Morris Blvd, Suite 306, Port Orange, FL 32129-6000 Ph: (386) 761-3101 |
Dr. David Mcgrath Baldwin Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1772 Mitchell Ct, Port Orange, FL 32128 Phone: 802-558-4246 | |
Trecia Jean Hall, CNA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5400 Coraci Blvd Apt 7202, Port Orange, FL 32128 Phone: 352-718-4888 | |
Dr. Patricia E. Hunter, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 6444 Longlake Dr, Port Orange, FL 32128 Phone: 760-899-5930 | |
Dr. Robert Clark Pennell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd, Suite 5, Port Orange, FL 32127 Phone: 386-761-2390 Fax: 386-761-3256 |