Organization
GULFSHORE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA DENBOER (OWNER, LICENSED PSYCHOLOGIST)
(239) 533-9860
Entity
Organization
Contact information
Practice address
1555 MATTHEW DR, FORT MYERS, FL 33907-1734
(239) 533-9860
Mailing address
1555 MATTHEW DR, FORT MYERS, FL 33907-1734
(239) 533-9860
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/21/2019
Last updated
11/12/2023
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