Organization
FORT MYERS PSYCHOLOGY, PA
Active
Other names
Nancy T Spencer PsyD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA K SLUDER (OFFICE BILLING ADMINISTRATOR)
(239) 887-6004
Entity
Organization
Contact information
Practice address
12791 WORLD PLAZA LN BLDG 89, FORT MYERS, FL 33907-3989
(239) 829-5494
(239) 645-4777
Mailing address
8430 BELLE MEADE DR, FORT MYERS, FL 33908-6009
(239) 826-7903
(239) 645-4777
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74129
BCBS FLORIDA
FL
01
—
NJ5TQ
BCBS-FL BLUE
FL
Enumeration date
05/03/2007
Last updated
12/16/2024
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