Susan R King Psyd Pa | |
5245 Ramsey Way Ste 1 Fort Myers FL 33907-2124 | |
(239) 929-0274 | |
(239) 437-5913 |
Full Name | Susan R King Psyd Pa |
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Speciality | Psychologist |
Location | 5245 Ramsey Way Ste 1, Fort Myers, Florida |
Authorized Official Name and Position | Susan R King (PSYCHOLOGIST) |
Authorized Official Contact | 2399290274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Susan R King Psyd Pa 5245 Ramsey Way Ste 1 Fort Myers FL 33907-2124 Ph: (239) 929-0274 | Susan R King Psyd Pa 5245 Ramsey Way Ste 1 Fort Myers FL 33907-2124 Ph: (239) 929-0274 |
NPI Number | 1356539175 |
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Provider Enumeration Date | 10/05/2007 |
Last Update Date | 04/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356539175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 0701501 (Florida) | Primary |
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