Individual
DR. BRANDY PIDERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5265 SW 95TH AVE, COOPER CITY, FL 33328-4144
(954) 710-7619
Mailing address
4301 S FLAMINGO RD STE 106, DAVIE, FL 33330-1902
(954) 710-7619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW14695
STATE LICENSE
FL
Enumeration date
09/21/2017
Last updated
09/25/2024
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