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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