Ditton, Patricia G

Ditton, Patricia G is an sole proprietor health care provider with primary practice located at 2428 Dwight Way , Berkeley CA 94704-3503. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ditton, Patricia G can be contacted via phone (510) 339-8458.

Contact Information

Primary practice address
2428 Dwight Way Berkeley CA 94704-3503
Fax: (510) 339-3902
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY9483 California

Profile Details

NPI number 1376542985
LBN Legal business name Ditton, Patricia G
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376542985 NPPES
California MEDICAID PY0094830

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