| Emily C Ptaszek Psyd Pa | |
|
5245 Ramsey Way Suite 1 Fort Myers FL 33907-2124 | |
| (407) 314-1650 | |
| Not Available |
| Full Name | Emily C Ptaszek Psyd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5245 Ramsey Way, Fort Myers, Florida |
| Authorized Official Name and Position | Emily C Ptaszek (DIRECTOR/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4073141650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily C Ptaszek Psyd Pa 1313 Caloosa Vista Rd Fort Myers FL 33901-8805 Ph: (239) 362-2802 | Emily C Ptaszek Psyd Pa 5245 Ramsey Way Suite 1 Fort Myers FL 33907-2124 Ph: (407) 314-1650 |
| NPI Number | 1184871568 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184871568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 7057 (Florida) | Primary |
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