Provider Demographics
NPI:1457890766
Name:PAOLOZZI, PATRIZIA (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:PATRIZIA
Middle Name:
Last Name:PAOLOZZI
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 2 KM 12.3
Mailing Address - Street 2:METRO MEDICAL CENTER TORRE A SUITE 102
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00984
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 12.3
Practice Address - Street 2:METRO MEDICAL CENTER TORRE A SUITE 102
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-360-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5702103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist