Provider Demographics
NPI:1477869857
Name:LOPEZ-PATTON, MARIA ROSANA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ROSANA
Last Name:LOPEZ-PATTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:ROSANA
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1400 NW 10TH AVE
Mailing Address - Street 2:SUITE 404A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1000
Mailing Address - Country:US
Mailing Address - Phone:305-243-7884
Mailing Address - Fax:305-243-2126
Practice Address - Street 1:1400 NW 10TH AVE
Practice Address - Street 2:SUITE 404A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1000
Practice Address - Country:US
Practice Address - Phone:305-243-7884
Practice Address - Fax:305-243-2126
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist