Provider Demographics
NPI:1750410460
Name:MORANSAIS, PATRICIA FRELL (PSYD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:FRELL
Last Name:MORANSAIS
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:FRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9822 NW 13 CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071
Mailing Address - Country:US
Mailing Address - Phone:954-757-7564
Mailing Address - Fax:
Practice Address - Street 1:9660 W SAMPLE RD STE 301
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4052
Practice Address - Country:US
Practice Address - Phone:954-757-7564
Practice Address - Fax:954-340-3674
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4937103T00000X
FL4937103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59536Medicare ID - Type Unspecified