NPI 1114348794
Cd Psychological Practice, PA
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
Mental Health Counselor
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.