Provider Information for 1801380340
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PATRICK A ORTIZ LPCC
Sex: Male
NPI: 1801380340
Last Updated: 2023-12-07
Certification Date: 2023-12-07
Certification Date: 2023-12-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801380340 | ||||||||
| Enumeration Date | 2018-06-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118-4897 United States Phone: 216-320-8426 | Fax: | ||||||||
| Primary Practice Address | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118-4897 United States Phone: 216-320-8426 | Fax: | ||||||||
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