Individual
DR. WILLIAM BRACKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1881 NE 26TH ST STE 70, WILTON MANORS, FL 33305-1425
(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
68 019898
NY
103TC0700X
Clinical Psychologist
PY6093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54526
BCBS
FL
Enumeration date
06/24/2006
Last updated
02/04/2023
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