Organization
GLENN R CADDY PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ROSS CADDY PH.D. (OWNER)
(954) 565-8850
Entity
Organization
Contact information
Practice address
3101 N FEDERAL HWY, SUITE 301, FT LAUDERDALE, FL 33306-1018
(954) 565-8850
Mailing address
3101 N FEDERAL HWY, SUITE 301, FT LAUDERDALE, FL 33306-1018
(954) 565-8850
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY2093
FL
Other
Enumeration date
06/25/2008
Last updated
12/02/2008
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