Individual ProviderAnnie PatykMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5665 College Ave, Oakland, CA 94618-1625(510) 516-1861PECOS EnrollmentBased on the most recent information from CMS, provider Annie Patyk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1659104610Provider TypeIndividualFull NamePatyk, AnnieGenderFemaleSole ProprietorYesEnumeration Date8/23/2024Last Updated8/23/2024Contact InformationPractice LocationPractice Address5665 College Ave, Oakland, CA 94618-1625Phone(510) 516-1861FaxUnlisted FaxMailing LocationMailing Address3491 17th St, San Francisco, CA 94110-1130PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense148824California