Provider Demographics
NPI:1083138309
Name:GARVER, PATRICE BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:BETH
Last Name:GARVER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 HUNTER MILL RD STE 21
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1716
Mailing Address - Country:US
Mailing Address - Phone:703-281-6058
Mailing Address - Fax:
Practice Address - Street 1:2915 HUNTER MILL RD
Practice Address - Street 2:SUITE 21
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124
Practice Address - Country:US
Practice Address - Phone:703-281-6058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health