Provider Demographics
NPI:1578750634
Name:PATRICIA FRELL PSYD. P.A.
Entity Type:Organization
Organization Name:PATRICIA FRELL PSYD. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:954-757-7564
Mailing Address - Street 1:1999 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 406
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8918
Mailing Address - Country:US
Mailing Address - Phone:954-757-7564
Mailing Address - Fax:
Practice Address - Street 1:1999 N UNIVERSITY DR
Practice Address - Street 2:SUITE 406
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8918
Practice Address - Country:US
Practice Address - Phone:954-757-7564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4937103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty