Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1-11-8160 | |
Y | 102L00000X | Psychologist | 1586 | NC |
Y | 103T00000X | Psychologist | 1586 | NC |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1586 | NC |
N | 103TA0700X | Adult Development & Aging Psychologist | 1586 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1586 | NC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1586 | NC |
N | 103TH0100X | Health Service | 1585 | NC |
N | 103TM1800X | Intellectual & Developmental Disabilities | 1586 | NC |
NPI | 1427021823 |
---|---|
Provider Name | Dr. Patrick Charles Quinn |
First Address | Concord, NC 28025-5047 |
Second Address | Concord, NC 28025-5047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 11/05/2021 |