Panos, Patrick Thomas

Panos, Patrick Thomas is an sole proprietor health care provider with primary practice located at 11820 S Maple Ridge Cir , Sandy UT 84094-7332. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Panos, Patrick Thomas can be contacted via phone (801) 671-5226.

Contact Information

Primary practice address
11820 S Maple Ridge Cir Sandy UT 84094-7332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 116155-2501 Utah

Profile Details

NPI number 1326624016
LBN Legal business name Panos, Patrick Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2021
Last updated Mar 22nd, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326624016 NPPES
Utah Other 116155-2501 STATE OF UTAH- PSYCHOLOGY LICENSE NUMBER
Utah Other 116155-2501 STATE OF UTAH- PSYCHOLOGY LICENSE NUMBER

Popular Providers