Provider Demographics
NPI:1619413580
Name:REMINGTON, PATRICK CHARLES
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:CHARLES
Last Name:REMINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-2334
Mailing Address - Country:US
Mailing Address - Phone:508-415-9120
Mailing Address - Fax:
Practice Address - Street 1:121 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:MA
Practice Address - Zip Code:01516-2334
Practice Address - Country:US
Practice Address - Phone:508-415-9120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health