| Patton Psychology Associates, Inc. | |
|
17501 Biscayne Blvd Ste 450 Aventura FL 33160-4806 | |
| (786) 519-1088 | |
| (305) 933-5733 |
| Full Name | Patton Psychology Associates, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 17501 Biscayne Blvd Ste 450, Aventura, Florida |
| Authorized Official Name and Position | Doyle E Patton (PRESIDENT/CLINICAL NEUROPSYCHOLOGIS) |
| Authorized Official Contact | 7865191088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patton Psychology Associates, Inc. 17501 Biscayne Blvd Ste 450 Aventura FL 33160-4806 Ph: (786) 519-1088 | Patton Psychology Associates, Inc. 17501 Biscayne Blvd Ste 450 Aventura FL 33160-4806 Ph: (786) 519-1088 |
| NPI Number | 1790191419 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Medicare PECOS PAC ID | 1052364155 |
|---|---|
| Medicare Enrollment ID | O20050301000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790191419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY6970 (Florida) | Primary |
| 103T00000X | Psychologist | PY6970 (Florida) | Secondary |
| Provider Name | Maria R Lopez-patton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477869857 PECOS PAC ID: 4082872924 Enrollment ID: I20120222001000 |
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