Organization
CD PSYCHOLOGICAL PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA DAVEY PH.D. (PSYCHOLOGIST)
(718) 268-6600
Entity
Organization
Contact information
Practice address
1937 GRACE AVE STE 100, FORT MYERS, FL 33901-7119
(239) 340-5589
Mailing address
118-35 QUEENS BLVD, SUITE 1403, FOREST HILLS, NY 11375-7205
(718) 268-6600
(718) 268-6065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 10313
FL
103T00000X
Psychologist
Primary
MH 10313
FL
Other
Enumeration date
12/26/2013
Last updated
09/18/2014
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