Provider Demographics
NPI:1578501391
Name:PATTERSON, DONALD P (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:P
Last Name:PATTERSON
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:PO BOX 772
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-0772
Mailing Address - Country:US
Mailing Address - Phone:336-889-6800
Mailing Address - Fax:336-889-6800
Practice Address - Street 1:725 W MAIN ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-7506
Practice Address - Country:US
Practice Address - Phone:336-889-6800
Practice Address - Fax:336-889-6800
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1242103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical