Doctor Name: | PATRICK MICHAEL MCPHERSON |
NPI Number: | 1053679134 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS, CASAC-T |
License Number: | 26822 |
Business Practice Address: | 422 N Main St Warsaw, NY - 145691050 |
Business Phone Number: | 5857868813 |
Business Fax Number: | 5857869928 |
Mailing Address: | 422 N Main St, WARSAW |
State: | NY |
Postal Code: | 145691050 |
Phone Number: | 5857868813 |
Fax Number: | 5857869928 |
NPI Enumeration Date: | 04/26/2012 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 26822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |