Pamela D. Bratton, Ph.D., P.A.

LBN: Pamela D. Bratton, Ph.D., P.A.
Pamela D. Bratton, Ph.D., P.A. is an health care organization with primary practice located at 4319 S Ridgewood Ave , Port Orange FL 32127-4522. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Pamela D. Bratton, Ph.D., P.A. can be contacted via phone (386) 788-2687, or through Bratton, Pamela Diane via phone (386) 788-2687.

Contact Information

Primary practice address
4319 S Ridgewood Ave Port Orange FL 32127-4522
Fax: (321) 234-0310
Website:
Authorized official contact:
Name: Bratton, Pamela Diane PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY3631 Florida

Profile Details

NPI number 1447525829
LBN Legal business name Pamela D. Bratton, Ph.D., P.A.
DBA Doing business as
Authorized official Bratton, Pamela Diane PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2012
Last updated Mar 19th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447525829 NPPES
Florida MEDICAID 001562300

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