| Katz Counseling And Educational Psychology | |
|
12641 World Plaza Lane Bldg #56 Fort Myers FL 33907-3990 | |
| (239) 247-1756 | |
| (239) 690-2438 |
| Full Name | Katz Counseling And Educational Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 12641 World Plaza Lane, Fort Myers, Florida |
| Authorized Official Name and Position | Nolan Heywood Katz (VICE PRESIDENT) |
| Authorized Official Contact | 2392471756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katz Counseling And Educational Psychology 12641 World Plaza Lane Bldg #56 Fort Myers FL 33907-3990 Ph: (239) 247-1756 | Katz Counseling And Educational Psychology 12641 World Plaza Lane Bldg #56 Fort Myers FL 33907-3990 Ph: (239) 247-1756 |
| NPI Number | 1790065043 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 11/08/2019 |
| Medicare PECOS PAC ID | 7315117736 |
|---|---|
| Medicare Enrollment ID | O20110823000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790065043 | NPI | - | NPPES |
| Provider Name | Nolan H Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356633671 PECOS PAC ID: 9638349921 Enrollment ID: I20110824000048 |
| Provider Name | Yvette Mallory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659824308 PECOS PAC ID: 3375830391 Enrollment ID: I20160919002745 |
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