Organization
SUSAN R KING PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R KING PSY D PA (PSYCHOLOGIST)
(239) 929-0274
Entity
Organization
Contact information
Practice address
5245 RAMSEY WAY STE 1, FORT MYERS, FL 33907-2124
(239) 929-0274
(239) 437-5913
Mailing address
5245 RAMSEY WAY STE 1, FORT MYERS, FL 33907-2124
(239) 929-0274
(239) 437-5913
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0701501
FL
Other
Enumeration date
10/05/2007
Last updated
04/25/2008
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