Provider Demographics
NPI:1235367707
Name:OHOYT, DANA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:OHOYT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:MATO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:4114 MEDICAL DR
Mailing Address - Street 2:#18308
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5607
Mailing Address - Country:US
Mailing Address - Phone:504-481-7013
Mailing Address - Fax:
Practice Address - Street 1:2741 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3641
Practice Address - Country:US
Practice Address - Phone:504-481-7013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8754103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty