Organization
COTLER HEALTHCARE & DEVELOPMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY M COLTER PH.D. (PRESIDENT)
(561) 790-1191
Entity
Organization
Contact information
Practice address
11120 S CROWN WAY STE 1, WELLINGTON, FL 33414-8718
(561) 790-1191
Mailing address
11120 S CROWN WAY STE 1, WELLINGTON, FL 33414-8718
(561) 790-1191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY4673
FL
251S00000X
Community/Behavioral Health Agency
—
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008586700
—
FL
Enumeration date
06/01/2006
Last updated
02/26/2020
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