Provider Demographics
NPI:1760416952
Name:DEWEES, PATRICIA A (LMFT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:DEWEES
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 1:3787 CARRICK DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-2801
Mailing Address - Country:US
Mailing Address - Phone:386-671-1201
Mailing Address - Fax:
Practice Address - Street 1:344 S BEACH ST
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-5035
Practice Address - Country:US
Practice Address - Phone:386-238-3830
Practice Address - Fax:386-238-3831
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1402106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist