Doctor Name: | DR. PATRICIA ANN STELZRIEDE |
NPI Number: | 1023125903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | LMHC4128 |
Business Practice Address: | 1313 S Washington Ave Ste E Titusville, FL - 327804292 |
Business Phone Number: | 3212677773 |
Business Fax Number: | 3212677535 |
Mailing Address: | 1313 S Washington Ave Ste E, TITUSVILLE |
State: | FL |
Postal Code: | 327804292 |
Phone Number: | 3212677773 |
Fax Number: | 3212677535 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMHC4128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |