Organization
PAMELA D. BRATTON, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA DIANE BRATTON PH.D. (PSYCHOLOGIST)
(386) 788-2687
Entity
Organization
Contact information
Practice address
4319 S RIDGEWOOD AVE, PORT ORANGE, FL 32127-4522
(386) 788-2687
(321) 234-0310
Mailing address
4319 S RIDGEWOOD AVE, PORT ORANGE, FL 32127-4522
(386) 788-2687
(321) 234-0310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001562300
—
FL
Enumeration date
03/19/2012
Last updated
03/19/2012
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