Individual
DR. SANDRA MARIE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
15901 BASS RD STE 108, FORT MYERS, FL 33908-3838
(239) 343-6050
(239) 343-6051
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TF0000X
Family Psychologist
Primary
PY10873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125509300
—
FL
Enumeration date
08/25/2011
Last updated
04/10/2025
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