Provider Demographics
NPI:1477827988
Name:GYATT, PATRICIA LEE (MSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LEE
Last Name:GYATT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:PATTY
Other - Middle Name:
Other - Last Name:GYATT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17501 SW 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2272
Mailing Address - Country:US
Mailing Address - Phone:305-254-9759
Mailing Address - Fax:305-256-0037
Practice Address - Street 1:17501 SW 117TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2272
Practice Address - Country:US
Practice Address - Phone:305-254-9759
Practice Address - Fax:305-256-0037
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health