| Doctor Name: | PATRICK ANDREW POHLE |
| NPI Number: | 1619951472 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 377 Medical Group 2050a Second Street Se Kirtland Afb, NM - 871175522 |
| Business Phone Number: | 5058461517 |
| Business Fax Number: | |
| Mailing Address: | 2745 Corte De La Villa Se, RIO RANCHO |
| State: | NM |
| Postal Code: | 87124 |
| Phone Number: | 5013660908 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2005 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |