Doctor Name: | DR. NANCY KARYO-WADINGTON |
NPI Number: | 1033549084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D, NCC, LMHC |
License Number: | MH6996 |
Business Practice Address: | 3430 Nw 16th St Lauderhill, FL - 333114272 |
Business Phone Number: | 5164324123 |
Business Fax Number: | |
Mailing Address: | 3430 Nw 16th St, LAUDERHILL |
State: | FL |
Postal Code: | 333114272 |
Phone Number: | 5164324123 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2013 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH6996 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |