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Glenn R Caddy Phd Pa
Adult Mental Health Clinic/Center in Ft Lauderdale, Florida
NPI 1871755579

Glenn R Caddy Phd Pa is an Adult Mental Health Clinic/Center based in Ft Lauderdale, FL and is specialized in Adult Mental Health. Glenn R Caddy Phd Pa practices in Ft Lauderdale, FL. The NPI Number for Glenn R Caddy Phd Pa is 1871755579 and holds a License No. PY2093 (Florida).

The current practice location address for Glenn R Caddy Phd Pa is 3101 N Federal Hwy, Ft Lauderdale, FL and can be reached out via phone at 954-565-8850.

Location: 3101 N Federal Hwy, Ft Lauderdale, FL, 33306-1018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871755579
Provider Name
Glenn R Caddy Phd Pa
Credential
Provider Entity Type
Organization
Address
3101 N Federal Hwy, Ft Lauderdale, FL, 33306-1018
Phone Number
954-565-8850
Fax Number
Provider Enumeration Date
06/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3101 N Federal Hwy
City
Ft Lauderdale
State
Florida
Zip
33306-1018
Phone Number
954-565-8850
Fax Number
person
Provider Business Mailing Address Details
Address
3101 N Federal Hwy
City
Ft Lauderdale
State
Florida
Zip
33306-1018
Phone Number
954-565-8850
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
PY2093 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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