Provider Demographics
NPI:1295922383
Name:MUNHALL, PATRICIA L (LP)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:L
Last Name:MUNHALL
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2889 MCFARLANE RD
Mailing Address - Street 2:APT. 1218
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6008
Mailing Address - Country:US
Mailing Address - Phone:305-461-2459
Mailing Address - Fax:
Practice Address - Street 1:2801 FORIDA AVE.
Practice Address - Street 2:SUITE 10
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133
Practice Address - Country:US
Practice Address - Phone:305-461-2459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000823102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst