| Doctor Name: | WALTER FABIAN REDLER |
| NPI Number: | 1043490899 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD, LCSW |
| License Number: | SW5782 |
| Business Practice Address: | 11510 Interchange Cir N Miramar, FL - 330256006 |
| Business Phone Number: | 9542370355 |
| Business Fax Number: | 8666326439 |
| Mailing Address: | 11510 Interchange Cir N, MIRAMAR |
| State: | FL |
| Postal Code: | 330256006 |
| Phone Number: | 9542370355 |
| Fax Number: | 8666326439 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 11/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | SW5782 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |