Provider Demographics
NPI:1316373426
Name:DEVITT, PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:DEVITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 CLONTARF ROAD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:IRELAND
Mailing Address - Zip Code:00003
Mailing Address - Country:IE
Mailing Address - Phone:35386-303-7748
Mailing Address - Fax:
Practice Address - Street 1:175 CLONTARF ROAD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:IRELAND
Practice Address - Zip Code:00003
Practice Address - Country:IE
Practice Address - Phone:35386-303-7748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185410-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry