| Patricia Marie Cordary Hartnett Psy.d.,l.l.c. | |
|
12555 Orange Dr Ste 104 Davie FL 33330-4304 | |
| (954) 416-1781 | |
| (954) 239-3902 |
| Full Name | Patricia Marie Cordary Hartnett Psy.d.,l.l.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12555 Orange Dr Ste 104, Davie, Florida |
| Authorized Official Name and Position | Patricia M Harnett (OWNER) |
| Authorized Official Contact | 9546388615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Marie Cordary Hartnett Psy.d.,l.l.c. 12555 Orange Dr Ste 104 Davie FL 33330-4304 Ph: (954) 416-1781 | Patricia Marie Cordary Hartnett Psy.d.,l.l.c. 12555 Orange Dr Ste 104 Davie FL 33330-4304 Ph: (954) 416-1781 |
| NPI Number | 1104398551 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 12/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104398551 | NPI | - | NPPES |
| 002138000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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