MEDICARE: TERRI GALINDO LCSW, LMFT

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
1	1041C0700X	Clinical Social Worker	SW 3673	FL
2	106H00000X	Marriage & Family Therapist	MT 1794	FL

General Provider Information

NPI Number	:	1245350859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI GALINDO LCSW, LMFT

Provider Business Mailing Address
First Line	:	2717 W CYPRESS CREEK RD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-1756
Country	:	US
Telephone Number	:	954-590-1581
Fax Number	:	954-302-4960

Provider Business Practice Location Address
First Line	:	2717 W CYPRESS CREEK RD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-1756
Country	:	US
Telephone Number	:	954-590-1581
Fax Number	:	954-302-4960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	03/17/2018

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