| Cathryn E Van Brackle Psyd Llc | |
|
600 Jimmy Ann Dr 1918 Daytona Beach FL 32114-7407 | |
| (305) 331-2553 | |
| Not Available |
| Full Name | Cathryn E Van Brackle Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 600 Jimmy Ann Dr, Daytona Beach, Florida |
| Authorized Official Name and Position | Cathryn E Van Brackle (PSYCHOLOGIST) |
| Authorized Official Contact | 3053312553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathryn E Van Brackle Psyd Llc 600 Jimmy Ann Dr 1918 Daytona Beach FL 32114-7407 Ph: (305) 331-2553 | Cathryn E Van Brackle Psyd Llc 600 Jimmy Ann Dr 1918 Daytona Beach FL 32114-7407 Ph: (305) 331-2553 |
| NPI Number | 1619119690 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619119690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY7396 (Florida) | Primary |
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