Manuel Michael Chaknis, PhD
Psychologist in Fort Myers, FL. Individual provider (NPI-1).
NPI number1346288917
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1346288917
- Entity type
- Individual (NPI-1)
- Name
- Manuel Michael Chaknis
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2006
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY0003426 | FL | Yes |
| 103G00000X | Clinical Neuropsychologist | 0810003658 | VA |
Practice location
2776 Cleveland Ave Ste 602Fort Myers, FL 33901-5864
Phone 239-343-1614 · Fax 239-343-3144
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-343-3900 · Fax 239-343-3144
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