Provider Demographics
NPI:1770157026
Name:ALVELO, PATRIA JOANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:PATRIA
Middle Name:JOANNE
Last Name:ALVELO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2669 MERCER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-3815
Mailing Address - Country:US
Mailing Address - Phone:267-973-5572
Mailing Address - Fax:
Practice Address - Street 1:2669 MERCER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3815
Practice Address - Country:US
Practice Address - Phone:267-973-5572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019288103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical