Patrick, Steven R

Patrick, Steven R is an individual health care provider with primary practice located at 617 N Humphreys St Suite 101, Flagstaff AZ 86001-3063. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Patrick, Steven R can be contacted via phone (928) 779-3783.

Contact Information

Primary practice address
617 N Humphreys St Suite 101 Flagstaff AZ 86001-3063
Fax: (928) 773-1150
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3396 Arizona

Profile Details

NPI number 1396714192
LBN Legal business name Patrick, Steven R
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 27th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396714192 NPPES
Arizona MEDICAID 533390

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