Miss Diana Josefina Chavez, PSYD | |
23450 Via Coconut Pt, Estero, FL 34135-1877 | |
(239) 468-0150 | |
(239) 343-4056 |
Full Name | Miss Diana Josefina Chavez |
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Gender | Female |
Speciality | Psychologist |
Location | 23450 Via Coconut Pt, Estero, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386890267 | NPI | - | NPPES |
105559600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY10636 (Florida) | Primary |
103TC0700X | Psychologist - Clinical | PSY20505 (California) | Secondary |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Entity Name | Collier Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827211 PECOS PAC ID: 4183521925 Enrollment ID: O20040210000106 |
Mailing Address | Practice Location Address |
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Miss Diana Josefina Chavez, PSYD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 468-0150 | Miss Diana Josefina Chavez, PSYD 23450 Via Coconut Pt, Estero, FL 34135-1877 Ph: (239) 468-0150 |
Eileen Lyons, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9180 Estero Park Commons Blvd, Unit 2, Estero, FL 33928 Phone: 239-898-2021 | |
Dr. Susan R. King, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3501 Health Center Blvd, Estero, FL 34135 Phone: 239-468-0300 Fax: 239-343-4257 | |
Mr. Daniel Jay Frank, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5051 Indigo Bay Blvd, 102, Estero, FL 33928 Phone: 914-815-5775 | |
Dr. Joseph William Bascuas, PH.D PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20111 Cheetah Ln, Estero, FL 33928 Phone: 239-444-6995 | |
Gesenia S Sloan-pena, MA Psychologist Medicare: Accepting Medicare Assignments Practice Location: 20301 Grande Oak Shoppes Blvd # 118-58, Estero, FL 33928 Phone: 954-803-9002 | |
Dr. Victoria Frehe-torres, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd #12, Estero, FL 33928 Phone: 239-799-6952 Fax: 239-366-4006 |