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Organization

COTLER CHILDREN AND FAMILY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY M COTLER PH.D. (CLINICAL PSYCHOLOGIST)
(561) 790-1191
Entity
Organization

Contact information

Practice address
11120 S CROWN WAY, SUITE 1, WELLINGTON, FL 33414-8718
(561) 790-1191
Mailing address
11120 S CROWN WAY, SUITE 1, WELLINGTON, FL 33414-8718
(561) 790-1191

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
251B00000X
Case Management Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016640000
FL
05
017326800
FL
Enumeration date
01/11/2016
Last updated
09/25/2017
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