Individual provider · NPI-1

Dr. Marisa Bermudez, PsyD

Psychologist · Fort Myers, FL

NPI number1013460823
StatusActive
Last updated in NPPESJul 12, 2019

Details

NPI
1013460823
Entity type
Individual (NPI-1)
Name
Dr. Marisa Bermudez
Credential
PsyD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 27, 2016
Last updated
Jul 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPY10455FLYes

Practice location

12499 Brantley Commons Ct Ste 101
Fort Myers, FL 33907-5694

Phone 239-278-3443 · Fax 239-278-3550

Mailing address

12499 Brantley Commons Ct Ste 101
Fort Myers, FL 33907-5694

Phone 239-278-3443 · Fax 239-278-3550

Other practice locations

3700 Sheridan Blvd Ste 1
Lincoln, NE 68506-6100

Phone 402-489-1834

5633 Strand Blvd Ste 301b
Naples, FL 34110-7383

Phone 239-278-3443

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