Provider Demographics
NPI:1679758650
Name:PATRICIA J. HAYES, PSY.D ASSOCIATES
Entity Type:Organization
Organization Name:PATRICIA J. HAYES, PSY.D ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:937-436-0700
Mailing Address - Street 1:77 W ELMWOOD DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4239
Mailing Address - Country:US
Mailing Address - Phone:937-436-0700
Mailing Address - Fax:937-424-5749
Practice Address - Street 1:77 W ELMWOOD DR
Practice Address - Street 2:SUITE 202
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4239
Practice Address - Country:US
Practice Address - Phone:937-436-0700
Practice Address - Fax:937-424-5749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4580103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty