Provider Demographics
NPI:1982660486
Name:PATTERSON, ARTHUR S (PHD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:S
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 1:431 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-3647
Mailing Address - Country:US
Mailing Address - Phone:863-314-9493
Mailing Address - Fax:
Practice Address - Street 1:431 S PINE ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3647
Practice Address - Country:US
Practice Address - Phone:863-314-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003935103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54420OtherBLUE CROSS BLUE SHIELD
FLP00317505OtherRAILROAD MEDICARE
FL54420OtherBLUE CROSS BLUE SHIELD