Whalio Doctors

NPI 1114348794

Cd Psychological Practice, PA

Organisation Psychologist Fort Myers, FL

Practice location

Address
1937 Grace Ave STE 100, Fort Myers, FL 33901-7119
Phone
(239) 340-5589
Mailing address
118-35 Queens Blvd Suite 1403, Forest Hills, NY 11375-7205

Authorised official

Name
Cynthia Davey
Title
Psychologist
Phone
(718) 268-6600

Registered specialties (2)

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence MH 10313 (FL)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence MH 10313 (FL)

Registry record

NPI
1114348794
Entity type
Organization
NPI issued
26 Dec 2013
Record last updated
18 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.