John Walter Patrick, PHD - Psychologist in Port Orange, FL

John Walter Patrick, PHD is a Psychologist - Clinical based in Port Orange, Florida. John Walter Patrick is licensed to practice in Florida (license number PY3313) and his current practice location is 4643 S Clyde Morris Blvd, Suite 306, Port Orange, Florida. He can be reached at his office (for appointments etc.) via phone at (386) 761-3101.

NPI number for John Walter Patrick is 1720015274 and his current mailing address is 5911 Riverside Dr, Port Orange, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720015274.

Contact Information

John Walter Patrick, PHD
4643 S Clyde Morris Blvd, Suite 306,
Port Orange, FL 32129-6000
(386) 761-3101
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJohn Walter Patrick
GenderMale
SpecialityPsychologist - Clinical
Location4643 S Clyde Morris Blvd, Port Orange, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720015274
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for John Walter Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720015274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY3313 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Walter Patrick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Walter Patrick, PHD
5911 Riverside Dr,
Port Orange, FL 32127-6445

Ph: (386) 761-3101
John Walter Patrick, PHD
4643 S Clyde Morris Blvd, Suite 306,
Port Orange, FL 32129-6000

Ph: (386) 761-3101

Reviews and Comments


Psychologist in Port Orange, FL

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Phone: 386-761-2390    Fax: 386-761-3256

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