Individual provider · NPI-1

Dr. Joann R Agress, PhD

Psychologist · Fort Myers, FL

NPI number1205918547
StatusActive
Last updated in NPPESMay 3, 2018

Details

NPI
1205918547
Entity type
Individual (NPI-1)
Name
Dr. Joann R Agress
Credential
PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 19, 2006
Last updated
May 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPY0006587FLYes
103G00000X Clinical NeuropsychologistPY0006587FL
103TH0100X Psychologist, Health ServicePY0006587FL

Practice location

2740 Oak Ridge Ct Ste 304
Fort Myers, FL 33901-9371

Phone 239-776-1855 · Fax 239-567-5620

Mailing address

20410 Talon Trce
Estero, FL 33928-3028

Phone 239-776-1855 · Fax 239-567-5620

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