Dattore, Patrick John

Dattore, Patrick John is an sole proprietor health care provider with primary practice located at 100 N Edward Gary St Suite 103B, San Marcos TX 78666-5726. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Dattore, Patrick John can be contacted via phone (512) 392-9472.

Contact Information

Primary practice address
100 N Edward Gary St Suite 103B San Marcos TX 78666-5726
Phone: (512) 392-9472
Fax: (512) 392-9472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31285 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31285 Texas

Profile Details

NPI number 1710981477
LBN Legal business name Dattore, Patrick John
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Dec 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710981477 NPPES
Texas MEDICAID 1476715-01
Texas Other 162291
Texas Other 118398000
Texas Other 0091GZ

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