Individual
MS. BET SHADDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, BC-PTSD, CHT
Contact information
Practice address
915 MIDDLE RIVER DR STE 201, FORT LAUDERDALE, FL 33304-3559
(800) 723-9788
(800) 723-9788
Mailing address
915 MIDDLE RIVER DR STE 201, FORT LAUDERDALE, FL 33304-3559
(800) 723-9788
(800) 723-9788
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017837600
—
FL
Enumeration date
03/07/2012
Last updated
01/28/2020
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