Provider Demographics
NPI:1023231230
Name:PATTERSON, TERENCE E (EDD, ABPP)
Entity type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:E
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:EDD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 EDDY ST # 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3923
Mailing Address - Country:US
Mailing Address - Phone:415-567-9203
Mailing Address - Fax:415-563-3867
Practice Address - Street 1:1721 SCOTT ST
Practice Address - Street 2:2C
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3035
Practice Address - Country:US
Practice Address - Phone:415-567-9203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TB0200X, 103TC1900X
CAPSY9880103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily