| Cd Psychological Practice, Pa | |
|
1937 Grace Ave Ste 100 Fort Myers FL 33901-7119 | |
| (239) 340-5589 | |
| Not Available |
| Full Name | Cd Psychological Practice, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1937 Grace Ave Ste 100, Fort Myers, Florida |
| Authorized Official Name and Position | Cynthia Davey (PSYCHOLOGIST) |
| Authorized Official Contact | 7182686600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cd Psychological Practice, Pa 118-35 Queens Blvd Suite 1403 Forest Hills NY 11375-7205 Ph: (718) 268-6600 | Cd Psychological Practice, Pa 1937 Grace Ave Ste 100 Fort Myers FL 33901-7119 Ph: (239) 340-5589 |
| NPI Number | 1114348794 |
|---|---|
| Provider Enumeration Date | 12/26/2013 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114348794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 10313 (Florida) | Secondary |
| 103T00000X | Psychologist | MH 10313 (Florida) | Primary |
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