Organization
BILL BRACKER, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRACKER JR. PSYD (OWNER/MEMBER)
(954) 895-1922
Entity
Organization
Contact information
Practice address
1881 NE 26TH ST, WILTON MANORS, FL 33305-1416
(954) 895-1022
Mailing address
PO BOX 4722, FORT LAUDERDALE, FL 33338-4722
(954) 895-1022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
02/04/2023
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