Provider Demographics
NPI:1518509355
Name:BIRKHIMER, PATRICIA M (LMFT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:BIRKHIMER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 BRADFORD CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-9027
Mailing Address - Country:US
Mailing Address - Phone:954-815-0080
Mailing Address - Fax:
Practice Address - Street 1:804 BRADFORD CT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-9027
Practice Address - Country:US
Practice Address - Phone:754-227-9779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT3174106H00000X
FLMT4695106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist