Individual
KIMBERLY CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4085 HANCOCK BRIDGE PKWY STE 101, FORT MYERS, FL 33903-7220
(239) 677-3767
Mailing address
965 MAIN ST, SANIBEL, FL 33957-4531
(239) 849-8033
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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