| Wendy Fader Phd Pa | |
|
5295 Town Center Rd Suite 401 Boca Raton FL 33486-1080 | |
| (561) 362-5530 | |
| (561) 362-5595 |
| Full Name | Wendy Fader Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 5295 Town Center Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Wendy Fader (PRES PSYCHOLOGIST) |
| Authorized Official Contact | 5613625530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Fader Phd Pa 5295 Town Center Rd Suite 401 Boca Raton FL 33486-1080 Ph: (561) 362-5530 | Wendy Fader Phd Pa 5295 Town Center Rd Suite 401 Boca Raton FL 33486-1080 Ph: (561) 362-5530 |
| NPI Number | 1306954649 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306954649 | NPI | - | NPPES |
| 73916 | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY004599 (Florida) | Primary |
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