| Bill Bracker Psyd Pa | |
|
915 Middle River Drive Suite 307 Fort Lauderdale FL 33304-3560 | |
| (954) 566-2166 | |
| (954) 566-1186 |
| Full Name | Bill Bracker Psyd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 915 Middle River Drive, Fort Lauderdale, Florida |
| Authorized Official Name and Position | William Bracker (OWNER) |
| Authorized Official Contact | 95456621166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Bracker Psyd Pa 915 Middle River Drive Suite 307 Fort Lauderdale FL 33304-3560 Ph: (954) 566-2166 | Bill Bracker Psyd Pa 915 Middle River Drive Suite 307 Fort Lauderdale FL 33304-3560 Ph: (954) 566-2166 |
| NPI Number | 1518107846 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 10/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518107846 | NPI | - | NPPES |
| 0006L | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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