Organization
COGNITIVE BEHAVIORAL THERAPY OF SOUTH FLORIDA PLLC
Active
Organization
COGNITIVE BEHAVIORAL THERAPY OF SOUTH FLORIDA PLLC
Active
Other names
Cognitive Behavioral Therapy of Central Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWILYM N RODDICK DSW, LCSW (PRESIDENT/PSYCHOTHERAPIST)
(407) 307-0300
Entity
Organization
Contact information
Practice address
1309 E ROBINSON ST, ORLANDO, FL 32801-2117
(407) 307-0300
Mailing address
1309 E ROBINSON ST, ORLANDO, FL 32801-2117
(407) 307-0300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861814584
INDIVIDUAL NPI
NY
Enumeration date
08/15/2022
Last updated
08/15/2022
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