Provider Demographics
NPI:1114074564
Name:PFLANZER, JODY L (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JODY
Middle Name:L
Last Name:PFLANZER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6645 NW 74TH CT
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3907
Mailing Address - Country:US
Mailing Address - Phone:954-257-9335
Mailing Address - Fax:
Practice Address - Street 1:2151 W HILLSBORO BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1200
Practice Address - Country:US
Practice Address - Phone:954-257-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2097106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist