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Provider Information for 1558651463


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Ms. PATRICIA MURPHY WOLFENDEN LMHC, LMFT


Sex: Female

NPI: 1558651463
Last Updated: 2020-08-21
Certification Date: 2020-08-21

Details

NameValue
NPI1558651463
Enumeration Date2011-04-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 52 W UNDERWOOD ST
ORLANDO, FL 32806-1110
United States

Phone: 407-262-2220 | Fax:407-834-5011
 
Primary Practice Address 52 W UNDERWOOD ST
ORLANDO, FL 32806-1110
United States

Phone: 407-262-2220 | Fax:407-834-5011
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 106H00000X - Marriage & Family Therapist FLMT1966
Yes 101YM0800X - Counselor - Mental HealthFLMH5311