Dr. Tracy G Myers, Ph.D.
Psychologist, Clinical in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1871078956
StatusActive
Last updated in NPPESSep 25, 2018
Details
- NPI
- 1871078956
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tracy G Myers
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2018
- Last updated
- Sep 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY9011 | FL | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | MCAP100418 | FL |
Practice location
325 Sw 28th StFort Lauderdale, FL 33315-2612
Phone 954-357-4898
Mailing address
325 Sw 28th StFort Lauderdale, FL 33315-2612
Phone 954-357-4810 · Fax 954-357-4898
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