Most Relevant Information
Provider Data
| NPI Number: | 1003362740 |
| Provider Name: | CARA BORTZ PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PY9600 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 11/16/2017 |
Provider Practice Location
500 N WASHINGTON AVE STE 105
TITUSVILLE
FL
327962759
Practice Location Phone/Fax
| Phone: | 3212680267 |
| Fax: | 3212683357 |
Provider Mailing Location
PO BOX 1137
MELBOURNE
FL
329021137
Provider Mailing Phone/Fax
| Phone: | 3219529696 |
| Fax: | 3219527937 |