Individual
DR. BARRY BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
871 SW STATE ROAD 47, LAKE CITY, FL 32025-0433
(386) 755-1720
(386) 754-1325
Mailing address
871 SW STATE ROAD 47, LAKE CITY, FL 32025-0433
(386) 755-1720
(386) 754-1325
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0000983
FL
Other
Enumeration date
10/03/2006
Last updated
05/04/2016
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