Provider Demographics
NPI:1326512328
Name:AYALA, PATRICIA CATHERINE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:CATHERINE
Last Name:AYALA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:47 FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NY
Mailing Address - Zip Code:13165-1809
Mailing Address - Country:US
Mailing Address - Phone:315-521-8858
Mailing Address - Fax:949-703-7954
Practice Address - Street 1:81 W BAYARD ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1807
Practice Address - Country:US
Practice Address - Phone:315-521-8858
Practice Address - Fax:949-703-7954
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY404457363LP0808X
NY667678-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health