Organization
SOUTHWEST PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREK R MOLDAWSKY JR. SCHOOL PSYCHOLOGIST (OWNER)
(239) 834-9333
Entity
Organization
Contact information
Practice address
4706 CHIQUITA BLVD S STE 200, CAPE CORAL, FL 33914-6324
(239) 834-9333
Mailing address
4706 CHIQUITA BLVD S STE 200, CAPE CORAL, FL 33914-6324
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1290
FL
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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