Provider Demographics
NPI:1740063767
Name:MAGPAYO, PATRICIA VENUS INOCENCIO
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:VENUS INOCENCIO
Last Name:MAGPAYO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HIGH PLAINS ST
Mailing Address - Street 2:
Mailing Address - City:ASSONET
Mailing Address - State:MA
Mailing Address - Zip Code:02702-1811
Mailing Address - Country:US
Mailing Address - Phone:508-991-9604
Mailing Address - Fax:
Practice Address - Street 1:279 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2320
Practice Address - Country:US
Practice Address - Phone:508-679-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health