Organization
CATHRYN E VAN BRACKLE PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHRYN E VAN BRACKLE PSY.D. (PSYCHOLOGIST)
(305) 331-2553
Entity
Organization
Contact information
Practice address
600 JIMMY ANN DR, 1918, DAYTONA BEACH, FL 32114-7407
(305) 331-2553
Mailing address
600 JIMMY ANN DR, 1918, DAYTONA BEACH, FL 32114-7407
(305) 331-2553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7396
FL
Other
Enumeration date
04/06/2009
Last updated
07/16/2009
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