Provider Demographics
NPI:1336339274
Name:OLIVER-PYATT, WENDY (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:OLIVER-PYATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6011 SW 82ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-8127
Mailing Address - Country:US
Mailing Address - Phone:305-240-9903
Mailing Address - Fax:786-216-7015
Practice Address - Street 1:6011 SW 82ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-8127
Practice Address - Country:US
Practice Address - Phone:305-240-9903
Practice Address - Fax:786-216-7015
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8446NV103TP0016X, 2084P0800X
NY1936192084P0800X
FLME1007962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)