Provider Demographics
NPI:1831537646
Name:CASH, PATRICK KEITH (MED, MPH)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:KEITH
Last Name:CASH
Suffix:
Gender:M
Credentials:MED, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 WORCASTER PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3153
Mailing Address - Country:US
Mailing Address - Phone:704-612-1119
Mailing Address - Fax:
Practice Address - Street 1:1401 WORCASTER PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-3153
Practice Address - Country:US
Practice Address - Phone:704-612-1119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst