Gulfside Center For Psychological Services in Ft Myers - Psychologist
Gulfside Center For Psychological Services - NPI 1760514590
Gulfside Center For Psychological Services is a Psychologist in Ft Myers, Florida. Gulfside Center For Psychological Services practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gulfside Center For Psychological Services is 1760514590. The last update date is 2020-08-22.
Gulfside Center For Psychological Services's current location address is 12641 World Plaza Ln, Ft Myers, Florida. You can contact this provider via phone number 2392743846 and fax number 2399394662. The mailing address for Gulfside Center For Psychological Services is 12641 World Plaza Ln, Ft Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gulfside Center For Psychological Services |
|---|---|
| Address | 12641 World Plaza Ln, Ft Myers, Florida |
| Phone Number | 2392743846 |
| Fax Number | 2399394662 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR P |
|---|---|
| Authorized Official Name | Morrill R Audrey |
| Credentials | PHD |
| Telephone Number | 2392743846 |
NPI Number Detail
| NPI Number | 1760514590 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12641 World Plaza Ln |
|---|---|
| City | Ft Myers |
| State | Florida (FL) |
| Post Code | 33907 |
| Phone Number | 2392743846 |
| Fax Number | 2399394662 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY6697 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the Gulfside Center For Psychological Services's unique identification number?
The Gulfside Center For Psychological Services has been assigned the NPI (National Provider Identifier) Number 1760514590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Gulfside Center For Psychological Services's facilities are situated?
The facilities of Gulfside Center For Psychological Services are physically located at the following address: 12641 World Plaza Ln, Ft Myers, FL, 33907.
What is Gulfside Center For Psychological Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gulfside Center For Psychological Services's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did Gulfside Center For Psychological Services receive its 1760514590 assignment from the Centers for Medicare & Medicaid Services?
The Gulfside Center For Psychological Services was assigned its 1760514590 on 2007-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gulfside Center For Psychological Services most recently updated or refreshed?
The details pertaining to the Gulfside Center For Psychological Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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