Glenn R Caddy PHD PA
NPI #1871755579 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1871755579
- Entity Type
- Organization
- Organization Name
- Glenn R Caddy PHD PA
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jun 25, 2008
- Last Updated
- Dec 2, 2008
Practice Location
- Address
- 3101 N FEDERAL HWY
- Address 2
- SUITE 301
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33306-1018
- Phone
- (954) 565-8850
Authorized Official
- Name
- DR. GLENN ROSS CADDY, PH.D.
- Title
- OWNER
- Phone
- (954) 565-8850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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