Provider Demographics
NPI:1245297696
Name:SOVONICK, PATRICIA KAY (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:KAY
Last Name:SOVONICK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 TEESIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1967
Mailing Address - Country:US
Mailing Address - Phone:727-457-0712
Mailing Address - Fax:727-847-3141
Practice Address - Street 1:4204 THYS RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-5837
Practice Address - Country:US
Practice Address - Phone:727-842-8136
Practice Address - Fax:727-847-3141
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health