| Pamela D. Bratton, Ph.d., P.a. | |
|
4319 S Ridgewood Ave Port Orange FL 32127-4522 | |
| (386) 788-2687 | |
| (321) 234-0310 |
| Full Name | Pamela D. Bratton, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 4319 S Ridgewood Ave, Port Orange, Florida |
| Authorized Official Name and Position | Pamela Diane Bratton (PSYCHOLOGIST) |
| Authorized Official Contact | 3867882687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela D. Bratton, Ph.d., P.a. 4319 S Ridgewood Ave Port Orange FL 32127-4522 Ph: (386) 788-2687 | Pamela D. Bratton, Ph.d., P.a. 4319 S Ridgewood Ave Port Orange FL 32127-4522 Ph: (386) 788-2687 |
| NPI Number | 1447525829 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447525829 | NPI | - | NPPES |
| 001562300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY3631 (Florida) | Primary |
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