Individual
DR. EDWARD SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1705 NE 12TH ST, FORT LAUDERDALE, FL 33304-2421
(347) 468-6621
Mailing address
1705 NE 12TH ST, FORT LAUDERDALE, FL 33304-2421
(347) 468-6621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/12/2023
Last updated
06/02/2024
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