Provider Demographics
NPI:1790860674
Name:ALEKNAVICIUS, PATRICK F (PSYD, LP)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:F
Last Name:ALEKNAVICIUS
Suffix:
Gender:M
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 3RD ST STE 308
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2357
Mailing Address - Country:US
Mailing Address - Phone:949-393-4219
Mailing Address - Fax:
Practice Address - Street 1:352 3RD ST STE 308
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2357
Practice Address - Country:US
Practice Address - Phone:949-393-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5150103TC0700X
CAPSY21973103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical