Individual
PATRICIA CORDARY-HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1601 N PALM AVE STE 303, PEMBROKE PINES, FL 33026-3242
(888) 852-6672
(305) 891-4228
Mailing address
1065 NE 125TH ST STE 409, NORTH MIAMI, FL 33161-5834
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5516
FL
103TC1900X
Counseling Psychologist
PY5516
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY5516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002138000
—
FL
01
—
P01078734
MEDICARE RAILROAD
FL
Enumeration date
11/12/2008
Last updated
12/06/2013
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