ASSOCIATES IN FAMILT PSYCHOLOGY NPI 1275712911

NPI Information

ASSOCIATES IN FAMILT PSYCHOLOGY is a specialist in Fort Myers, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ASSOCIATES IN FAMILT PSYCHOLOGY NPI is 1275712911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6150 DIAMOND CENTRE CT
SUITE 1003
FORT MYERS, FL
ZIP 33912-365
Phone: (239) 561-9955
Fax: (239) 561-9779

The provider's authorized official is Joshua Gary Myers .
The authorized official title is Joshua G. Myers, Psy D, P.a. and has the following contact phone number (239) 561-9955.

The CLIA number assigned to this NPI record is 10D2077059 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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