Organization
INDIGO PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FUENTES (PSYCHOLOGIST / OWNER)
(305) 244-3458
Entity
Organization
Contact information
Practice address
625 111TH AVE N, NAPLES, FL 34108-1825
(305) 244-3458
Mailing address
625 111TH AVE N, NAPLES, FL 34108-1825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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