| D J Koehn Consulting Services Inc. | |
|
8359 Beacon Blvd Ste 301 Fort Myers FL 33907-3059 | |
| (571) 309-7993 | |
| (800) 387-5701 |
| Full Name | D J Koehn Consulting Services Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8359 Beacon Blvd Ste 301, Fort Myers, Florida |
| Authorized Official Name and Position | David James Koehn (PRESIDENT) |
| Authorized Official Contact | 5713097993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D J Koehn Consulting Services Inc. Po Box 6552 Sheridan WY 82801-7100 Ph: (571) 309-7993 | D J Koehn Consulting Services Inc. 8359 Beacon Blvd Ste 301 Fort Myers FL 33907-3059 Ph: (571) 309-7993 |
| NPI Number | 1003329632 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Medicare PECOS PAC ID | 5597024653 |
|---|---|
| Medicare Enrollment ID | O20180117002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003329632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | David J Koehn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700217429 PECOS PAC ID: 4385866813 Enrollment ID: I20141117001097 |
| Provider Name | Nelson Lloyd Hadler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952748980 PECOS PAC ID: 6103253976 Enrollment ID: I20200218000949 |
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