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Organization

EMILY C PTASZEK PSYD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMILY C PTASZEK PSY.D. (DIRECTOR/LICENSED PSYCHOLOGIST)
(407) 314-1650
Entity
Organization

Contact information

Practice address
5245 RAMSEY WAY, SUITE 1, FORT MYERS, FL 33907-2124
(407) 314-1650
Mailing address
1313 CALOOSA VISTA RD, FORT MYERS, FL 33901-8805
(239) 362-2802

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7057
FL

Other

Enumeration date
08/27/2008
Last updated
12/11/2008
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