Provider Demographics
NPI:1518018118
Name:WACHSLER, CARYN A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARYN
Middle Name:A
Last Name:WACHSLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6263 PETALUMA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5413
Mailing Address - Country:US
Mailing Address - Phone:561-392-1808
Mailing Address - Fax:561-392-1808
Practice Address - Street 1:370 CAMINO GARDENS BLVD STE 117
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5826
Practice Address - Country:US
Practice Address - Phone:561-392-1808
Practice Address - Fax:561-392-1808
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004995103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1992730626OtherENTITY TYPE 2 NPI #
FL1992730626OtherENTITY TYPE 2 NPI #