Walter Fabian Redler, PsyD, LCSW
Counselor, Professional in Miramar, FL. Individual provider (NPI-1).
NPI number1043490899
StatusActive
Last updated in NPPESNov 9, 2007
Details
- NPI
- 1043490899
- Entity type
- Individual (NPI-1)
- Name
- Walter Fabian Redler
- Credential
- PsyD, LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2007
- Last updated
- Nov 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | SW5782 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | SW5782 | FL | |
| 1041C0700X | Social Worker, Clinical | SW5782 | FL | |
| 106H00000X | Marriage & Family Therapist | SW5782 | FL |
Other names
- Fabian Redler (Professional Name)
Practice location
11510 Interchange Cir NMiramar, FL 33025-6006
Phone 954-237-0355 · Fax 866-632-6439
Mailing address
11510 Interchange Cir NMiramar, FL 33025-6006
Phone 954-237-0355 · Fax 866-632-6439
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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