Pamela D. Bratton, PH.D., P.a.
Organization Active NPI Psychologist · Port Orange, FL
NPI 1447525829 · NPPES record last updated Mar 19, 2012
Key facts
- NPI
- 1447525829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- PY3631 (FL)
- Legal business name
- PAMELA D. BRATTON, PH.D., P.A.
- Practice address
- 4319 S Ridgewood Ave
Port Orange, FL 32127-4522 - Phone
- (386) 788-2687
- Fax
- (321) 234-0310
- NPI assigned
- Mar 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Pamela Diane Bratton, PH.D.
- Title
- Psychologist
- Phone
- (386) 788-2687
Practitioners 1
-
Pamela Diane Bratton, PHD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PY3631 | FL | Yes |
Addresses
Primary practice location
4319 S Ridgewood Ave
Port Orange, FL 32127-4522
Mailing address
4319 S Ridgewood Ave
Port Orange, FL 32127-4522
Phone (386) 788-2687
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001562300 | Medicaid | FL |
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.