Cd Psychological Practice, Pa

NPI 1114348794 - Counselor - 101YM0800X

NPI Details
NPI 1114348794
Enumeration Date 12/26/2013
Last Updated 09/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CYNTHIA CYNTHIA
Position PSYCHOLOGIST
Phone (239) 340-5589
Fax
Practice Location
1937 GRACE AVE STE 100
FORT MYERS FL, 33901-7119, US
Phone (239) 340-5589
Fax
Business Location
118-35 QUEENS BLVD
SUITE 1403
FOREST HILLS NY, 11375-7205, US
Phone (718) 268-6600
Fax (718) 268-6065
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH 10313
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According to our database, Cd Psychological Practice, Pa NPI is 1114348794, taxonomy code is 101YM0800X and license number is MH 10313, license state is located at Florida. Cd Psychological Practice, Pa physically located at 1937 Grace Ave Ste 100, Fort Myers FL, 33901-7119. NPI Number 1033115704 has the healthcare provider type.

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1114348794 NPI number is provided on an as is basis without warranty of any kind. 1114348794 is maintained by the National Plan & Provider Enumeration System. The contents of Cd Psychological Practice, Pa are for informational purposes only.