| Gloria M Fraggetti Phd Pa | |
|
3107 Stirling Rd Ste 103 Ft Lauderdale FL 33312-6565 | |
| (954) 472-6808 | |
| (954) 925-9923 |
| Full Name | Gloria M Fraggetti Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 3107 Stirling Rd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Gloria Marie Fraggetti (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9544726808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria M Fraggetti Phd Pa 3107 Stirling Rd Ste 103 Ft Lauderdale FL 33312-6565 Ph: (954) 472-6808 | Gloria M Fraggetti Phd Pa 3107 Stirling Rd Ste 103 Ft Lauderdale FL 33312-6565 Ph: (954) 472-6808 |
| NPI Number | 1144324401 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 08/25/2015 |
| Medicare PECOS PAC ID | 8123335148 |
|---|---|
| Medicare Enrollment ID | O20150923001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144324401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY4559 (Florida) | Primary |
| Provider Name | Gloria M Fraggetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164526414 PECOS PAC ID: 9830406867 Enrollment ID: I20150923001682 |
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