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NPI Code Detail

MEDICARE: HANNAH K PATTERSON

MEDICARE: HANNAH K PATTERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist0813000753VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10813000753OTHERVASCHOOL PSYCHOLOGIST- LIMITED

General Provider Information

NPI Number : 1316438013
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH K PATTERSON
Provider Business Mailing Address
First Line : 641 CARRIAGE HILL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-6518
Country : US
Telephone Number : 757-263-2700
Fax Number :
Provider Business Practice Location Address
First Line : 641 CARRIAGE HILL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-6518
Country : US
Telephone Number : 757-263-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2018
Last Update Date : 05/29/2018

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