Provider Demographics
NPI:1356536122
Name:ARTHUR S PATTERSON PHD INC
Entity type:Organization
Organization Name:ARTHUR S PATTERSON PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:863-314-9493
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:863-382-8672
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:863-382-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003935103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDE8119OtherRAILROAD MEDICARE
FLK7970Medicare PIN