Provider Demographics
NPI:1093025538
Name:RICE, PATRICIA A
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4336 LAKE UNDERHILL RD
Mailing Address - Street 2:APT C
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-7053
Mailing Address - Country:US
Mailing Address - Phone:407-719-7178
Mailing Address - Fax:
Practice Address - Street 1:4336 LAKE UNDERHILL RD
Practice Address - Street 2:APT C
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-7053
Practice Address - Country:US
Practice Address - Phone:407-719-7178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health