Gulfside Center For Psychological Services | |
12641 World Plaza Ln #56 Ft Myers FL 33907 | |
(239) 274-3846 | |
(239) 939-4662 |
Full Name | Gulfside Center For Psychological Services |
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Speciality | Psychologist |
Location | 12641 World Plaza Ln, Ft Myers, Florida |
Authorized Official Name and Position | Audrey R Morrill (DIRECTOR PRESIDENT) |
Authorized Official Contact | 2392743846 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulfside Center For Psychological Services 12641 World Plaza Ln #56 Ft Myers FL 33907 Ph: (239) 274-3846 | Gulfside Center For Psychological Services 12641 World Plaza Ln #56 Ft Myers FL 33907 Ph: (239) 274-3846 |
NPI Number | 1760514590 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760514590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY6697 (Florida) | Primary |
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