Individual
DR. TRACY G MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
325 SW 28TH ST, FORT LAUDERDALE, FL 33315-2612
(954) 357-4898
Mailing address
325 SW 28TH ST, FORT LAUDERDALE, FL 33315-2612
(954) 357-4810
(954) 357-4898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100418
FL
103TC0700X
Clinical Psychologist
Primary
PY9011
FL
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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