NPI 1144877424
Gulfshore Behavioral Health
Practice location
- Address
- 1555 Matthew Dr, Fort Myers, FL 33907-1734
- Phone
- (239) 533-9860
Authorised official
- Name
- Samantha Denboer
- Title
- Owner, Licensed Psychologist
- Phone
- (239) 533-9860
Registered specialties (4)
Psychologist
Primary
Clinical Psychologist
Psychiatry Physician
Child & Adolescent Psychiatry Physician
Registry record
- NPI
- 1144877424
- Entity type
- Organization
- NPI issued
- 21 Aug 2019
- Record last updated
- 12 Nov 2023
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.