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NPI Code Detail

MEDICARE: MR. BRAD PALEY LCSW

MEDICARE: MR. BRAD PALEY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW3017FL

General Provider Information

NPI Number : 1639421811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRAD PALEY LCSW
Provider Business Mailing Address
First Line : 721 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6345
Country : US
Telephone Number : 954-783-8300
Fax Number :
Provider Business Practice Location Address
First Line : 721 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6345
Country : US
Telephone Number : 954-783-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2012
Last Update Date : 03/13/2020

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Directions to “ MR. BRAD PALEY LCSW” Practice Location

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