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1275602807
PETER D. PATRICK
CHARLOTTESVILLE, VA
NPI
1275602807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810000756)
Enumeration Date
2006-11-07
Last Update Date
2014-08-07
Business Address
-- PETER D. PATRICK PhD
417 EMMET STREET, SOUTH
CHARLOTTESVILLE, VA 22904-4270
Phone number: 434-924-7034
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Mailing Address
-- PETER D. PATRICK PhD
417 EMMET STREET, S P.O. BOX 400270
CHARLOTTESVILLE, VA 22904-4270
Phone number: 434-924-7034
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