Provider Demographics
NPI:1700467255
Name:STRONG, PATRICK RAYMOND
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:RAYMOND
Last Name:STRONG
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 1:122 POTRERO LN
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-9744
Mailing Address - Country:US
Mailing Address - Phone:805-757-1121
Mailing Address - Fax:
Practice Address - Street 1:122 POTRERO LN
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-9744
Practice Address - Country:US
Practice Address - Phone:805-757-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health