Individual
DR. JOANN R AGRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2740 OAK RIDGE CT STE 304, FORT MYERS, FL 33901-9371
(239) 776-1855
(239) 567-5620
Mailing address
20410 TALON TRCE, ESTERO, FL 33928-3028
(239) 776-1855
(239) 567-5620
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY0006587
FL
103T00000X
Psychologist
Primary
PY0006587
FL
103TH0100X
Health Service Psychologist
PY0006587
FL
Other
Enumeration date
10/19/2006
Last updated
05/03/2018
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