Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Walter Patrick, PHD

Individual provider Clinical Psychologist · NPI 1720015274

John Walter Patrick, PHD is a Clinical Psychologist in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4643 S Clyde Morris Blvd Ste 306
Port Orange, FL 32129-6000
Phone: (386) 761-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY3313 (FL)

Record details

NPI number1720015274
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5911 Riverside Dr, Port Orange, FL 32127-6445

Other providers in Port Orange