Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2020-02-14
- Last updated
- 2022-05-17
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1890 S 14TH ST STE 140
- City
- FERNANDINA BEACH FL
- Postal code
- 320344718
- Phone
- 205-370-1832
Organization contact
- Name
- PATRICIA BARRETO
- Title
- Clinical Psychologist
- Phone
- 2053701832
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.