| Southwest Psychological Services, Llc | |
|
4706 Chiquita Blvd S Ste 200 Cape Coral FL 33914-6324 | |
| (239) 834-9333 | |
| Not Available |
| Full Name | Southwest Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - School |
| Location | 4706 Chiquita Blvd S Ste 200, Cape Coral, Florida |
| Authorized Official Name and Position | Marek R Moldawsky (OWNER) |
| Authorized Official Contact | 2398349333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Psychological Services, Llc 4706 Chiquita Blvd S Ste 200 Cape Coral FL 33914-6324 Ph: () - | Southwest Psychological Services, Llc 4706 Chiquita Blvd S Ste 200 Cape Coral FL 33914-6324 Ph: (239) 834-9333 |
| NPI Number | 1114440112 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 07/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114440112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 1290 (Florida) | Primary |
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