David L Patterson, PC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

000681 Issued in GA

Legal business name

DAVID L PATTERSON, PC

Practice address

911 Ocean Blvd
St Simons Island, GA 31522-4519

Phone

(912) 638-2724

Fax

(912) 638-2409

NPI assigned

Jun 27, 2012

Last updated

Jun 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Leo Patterson, PHD

Title

Licensed Psychologist

Phone

(912) 638-2724

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1174887814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OCEAN BLVD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224519",
            "telephone_number": "912-638-2734",
            "fax_number": "912-638-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OCEAN BLVD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224519",
            "telephone_number": "912-638-2724",
            "fax_number": "912-638-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L PATTERSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "912-638-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "000681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megan Delarosa
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• Candance H Devaul, PMHNP-BC

• Counseling Psychologist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.