| Doctor Name: | DR. PATRICIA MINNITTI |
| NPI Number: | 1003078940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., MFT |
| License Number: | MFT MN15479 |
| Business Practice Address: | 2075 Palos Verdes Dr N Suite 218 Lomita, CA - 907173724 |
| Business Phone Number: | 3108901029 |
| Business Fax Number: | 3102651216 |
| Mailing Address: | 2075 Palos Verdes Dr N, Suite 218 LOMITA |
| State: | CA |
| Postal Code: | 907173724 |
| Phone Number: | 3108901029 |
| Fax Number: | 3102651216 |
| NPI Enumeration Date: | 07/01/2008 |
| NPI Last Update Date: | 07/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFT MN15479 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |