Provider Demographics
NPI:1386428704
Name:BRATT, PATRICIA (PHD, PSYAD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:BRATT
Suffix:
Gender:F
Credentials:PHD, PSYAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S LIVINGSTON AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3929
Mailing Address - Country:US
Mailing Address - Phone:973-477-9228
Mailing Address - Fax:
Practice Address - Street 1:301 S LIVINGSTON AVE STE 203
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3929
Practice Address - Country:US
Practice Address - Phone:973-477-9228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis