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12499 Brantley Commons Ct Suite 101 Fort Myers FL 33907-5676 | |
| (239) 278-3443 | |
| (239) 278-3550 |
| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 12499 Brantley Commons Ct, Fort Myers, Florida |
| Authorized Official Name and Position | Steven D Cohen (PRESIDENT) |
| Authorized Official Contact | 2392783443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
12499 Brantley Commons Ct Suite 101 Fort Myers FL 33907-5676 Ph: (239) 278-3443 | 12499 Brantley Commons Ct Suite 101 Fort Myers FL 33907-5676 Ph: (239) 278-3443 |
| NPI Number | 1952309296 |
|---|---|
| Provider Enumeration Date | 07/11/2005 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 0840287991 |
|---|---|
| Medicare Enrollment ID | O20040429000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952309296 | NPI | - | NPPES |
| Provider Name | David B Rawlings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285636233 PECOS PAC ID: 9032023692 Enrollment ID: I20031120000387 |
| Provider Name | Michael B Spellman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891850772 PECOS PAC ID: 8921095084 Enrollment ID: I20041202000934 |
| Provider Name | Steven D Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447340369 PECOS PAC ID: 4688609100 Enrollment ID: I20051010000124 |
| Provider Name | Candice L Hurst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427213065 PECOS PAC ID: 2567523442 Enrollment ID: I20081210000674 |
| Provider Name | Linda A Wilmshurst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497173736 PECOS PAC ID: 8224306642 Enrollment ID: I20170607002561 |
| Provider Name | Beth A Howlett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265526933 PECOS PAC ID: 1052610417 Enrollment ID: I20190911003703 |
| Provider Name | Keysha Kren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689307977 PECOS PAC ID: 8325429319 Enrollment ID: I20220721003807 |
| Provider Name | Nicole A Jaffe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649051194 PECOS PAC ID: 2365891371 Enrollment ID: I20231214003902 |
| Provider Name | Alexander D Jaffe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346723962 PECOS PAC ID: 7012441777 Enrollment ID: I20241118001328 |
| Provider Name | Anlinh T Bui |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699597617 PECOS PAC ID: 7214463819 Enrollment ID: I20241205003582 |
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