MEDICARE: INGRID PARTENIO PHD & ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY0003225	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013205061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INGRID PARTENIO PHD & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	2881 E OAKLAND PARK BLVD
Second Line	:	SUITE 319
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33306-1813
Country	:	US
Telephone Number	:	954-315-1725
Fax Number	:	954-315-1726

Provider Business Practice Location Address
First Line	:	2881 E OAKLAND PARK BLVD
Second Line	:	SUITE 319
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33306-1813
Country	:	US
Telephone Number	:	954-315-1725
Fax Number	:	954-315-1726

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. INGRID PARTENIO
Credential	:	PH.D.
Telephone Number	:	954-315-1725

Provider Enumeration Date	:	07/12/2011
Last Update Date	:	07/12/2011

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Directions to “INGRID PARTENIO PHD & ASSOCIATES PA ” Practice Location

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