Provider Demographics
NPI:1225051725
Name:QUIGLEY, PATRICK ANDREW (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ANDREW
Last Name:QUIGLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 E AGAVE RD STE 140
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-0623
Mailing Address - Country:US
Mailing Address - Phone:480-759-6191
Mailing Address - Fax:480-706-6605
Practice Address - Street 1:4425 E. AGAVE ROAD, SUITE 140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044
Practice Address - Country:US
Practice Address - Phone:480-759-6191
Practice Address - Fax:480-706-6605
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1527103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical