| Psychskills Institute Inc | |
|
15730 Pipers Gln Fort Myers FL 33912-4009 | |
| (239) 292-2451 | |
| Not Available |
| Full Name | Psychskills Institute Inc |
|---|---|
| Speciality | Psychologist |
| Location | 15730 Pipers Gln, Fort Myers, Florida |
| Authorized Official Name and Position | Audrey Rae Sherman (OWNER) |
| Authorized Official Contact | 2392922451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychskills Institute Inc 15730 Pipers Gln Fort Myers FL 33912-4009 Ph: (239) 292-2451 | Psychskills Institute Inc 15730 Pipers Gln Fort Myers FL 33912-4009 Ph: (239) 292-2451 |
| NPI Number | 1477386555 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 2062952823 |
|---|---|
| Medicare Enrollment ID | O20240906002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477386555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Audrey R Sherman |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1114193216 PECOS PAC ID: 7719953421 Enrollment ID: I20040907001142 |
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