JOHN WALTER PATRICK

PORT ORANGE, FL
NPI1720015274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY3313)
Enumeration Date2006-06-27
Last Update Date2007-07-08
Business Address
-- JOHN WALTER PATRICK Ph.D.
4643 S CLYDE MORRIS BLVD SUITE 306
PORT ORANGE, FL 32129-6000
Phone number: 386-761-3101
Mailing Address
-- JOHN WALTER PATRICK Ph.D.
5911 RIVERSIDE DR
PORT ORANGE, FL 32127-6445
Phone number: 386-761-3101
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