Medland, Patrick
Medland, Patrick is an individual health care provider with primary practice located at 655 S Clarizz Blvd , Bloomington IN 47401-5523. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Medland, Patrick can be contacted via phone (812) 335-5890.Contact Information
Primary practice address
655 S Clarizz Blvd
Bloomington IN 47401-5523
Phone: (812) 335-5890
Fax: (812) 355-5895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39000428A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34002601A | Indiana |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35000705A | Indiana |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 34002601A | Indiana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 34002601A | Indiana |
Profile Details
| NPI number | 1922075209 |
|---|---|
| LBN Legal business name | Medland, Patrick |
| Credentials | LCSW, LMHC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2006 |
| Last updated | Apr 29th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922075209 | NPPES |
| Other | 000000316246 | ANTHEM |
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