Organization · NPI-2

Associates In Family Psychology

Psychologist, Clinical · Fort Myers, FL

NPI number1275712911
StatusActive
Last updated in NPPESApr 5, 2023

Details

NPI
1275712911
Entity type
Organization (NPI-2)
Legal business name
Associates In Family Psychology
Organization subpart
No
Enumeration date
Oct 30, 2007
Certification date
Apr 5, 2023
Last updated
Apr 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes
174400000X Specialist––

Practice location

13430 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1812

Phone 239-561-9955 · Fax 239-561-9779

Mailing address

13430 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1812

Phone 239-561-9955 · Fax 239-561-9779

Authorized official

Amy Mulholland
Co Owner/Psychologist
2395619955

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