Provider Demographics
NPI:1831201003
Name:PATE, PHILIP E (PHD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:E
Last Name:PATE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S LOVDOVN STREET
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:540-667-5431
Mailing Address - Fax:540-667-2855
Practice Address - Street 1:801 S LOVDOVN STREET
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-667-5431
Practice Address - Fax:540-667-2855
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002997103TC0700X
WV870103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
188969OtherANTHEM BCBS
083436OtherCOMMUNITY HEALTH