Provider Demographics
NPI:1558548081
Name:PATZ, DANIEL AARON (PSYD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:AARON
Last Name:PATZ
Suffix:
Gender:M
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 W SAINT ISABEL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6382
Mailing Address - Country:US
Mailing Address - Phone:888-666-3089
Mailing Address - Fax:888-666-9870
Practice Address - Street 1:2706 W SAINT ISABEL ST
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6382
Practice Address - Country:US
Practice Address - Phone:888-666-3089
Practice Address - Fax:888-666-9870
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6401101YM0800X
FLPY7669103T00000X
CT002577103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical