Provider Demographics
NPI:1003078940
Name:MINNITTI, PATRICIA (PHD, MFT)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:MINNITTI
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 PALOS VERDES DR N
Mailing Address - Street 2:SUITE 218
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-3724
Mailing Address - Country:US
Mailing Address - Phone:310-890-1029
Mailing Address - Fax:310-265-1216
Practice Address - Street 1:2075 PALOS VERDES DR N
Practice Address - Street 2:SUITE 218
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-3724
Practice Address - Country:US
Practice Address - Phone:310-890-1029
Practice Address - Fax:310-265-1216
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT MN15479101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health