Healthcare Provider Details

I. General information

NPI: 1073435210
Provider Name (Legal Business Name): MICHAEL SHANE PATRICK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N MARYLAND AVE STE 303
GLENDALE CA
91206-4281
US

IV. Provider business mailing address

144 CARR DR APT 4
GLENDALE CA
91205-1552
US

V. Phone/Fax

Practice location:
  • Phone: 747-208-2623
  • Fax:
Mailing address:
  • Phone: 747-208-2623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number155654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: