Provider Demographics
NPI:1639215072
Name:MCALPINE, PATRICIA E
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2898 MAHAN DR
Mailing Address - Street 2:STE 5
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5463
Mailing Address - Country:US
Mailing Address - Phone:850-552-0691
Mailing Address - Fax:850-656-8969
Practice Address - Street 1:2898 MAHAN DR
Practice Address - Street 2:STE 5
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5463
Practice Address - Country:US
Practice Address - Phone:850-552-0691
Practice Address - Fax:850-656-8969
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00027161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical