Individual
DR. GISEL IVETTE MENDEZ-CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5225 CLAYTON CT, FORT MYERS, FL 33907-2117
(239) 343-8240
(239) 468-7906
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8240
(239) 468-7906
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116188200
—
FL
Enumeration date
06/12/2018
Last updated
10/06/2023
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