DR. PATRICK JOHN DATTORE PH.D. NPI 1710981477

NPI Information

NPI: 1710981477
Provider Name: DR. PATRICK JOHN DATTORE, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
100 N EDWARD GARY ST
SUITE 103B
SAN MARCOS, TX
ZIP 78666
Phone: (512) 392-9472
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DR. Patrick John Dattore, PH.D. is a clinical psychologist in San Marcos, TX. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Patrick John Dattore, PH.D. NPI is 1710981477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N EDWARD GARY ST
SUITE 103B
SAN MARCOS, TX
ZIP 78666-726
Phone: (512) 392-9472
Fax: (512) 392-9472

The enumeration date for this NPI number is 6/10/2005 and was last updated on 12/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		31285	TEXAS	No
2	103TC0700X	Psychologist	Clinical	31285	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0091GZ	OTHER	TEXAS	BLUE CROSS/SHIELD
2	162291	OTHER	TEXAS	COMPSYCH
3	00392P	MEDICARE PIN	TEXAS
4	118398000	OTHER	TEXAS	MAGELLAN
5	1476715-01	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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