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NPI Code Detail

MEDICARE: HANNAH GRACE PATRICK

MEDICARE: HANNAH GRACE PATRICK
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
1106H00000XMarriage & Family Therapist
2106H00000XMarriage & Family Therapist102633CA

General Provider Information

NPI Number : 1467956987
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH GRACE PATRICK
Provider Business Mailing Address
First Line : 4510 EXECUTIVE DR STE 315
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-3029
Country : US
Telephone Number : 858-534-4334
Fax Number :
Provider Business Practice Location Address
First Line : 4510 EXECUTIVE DR STE 315
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-3029
Country : US
Telephone Number : 858-534-4334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 03/07/2023

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Directions to “ HANNAH GRACE PATRICK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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