Organization
SOUTHWEST FLORIDA PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C OLBY PHD (OWNER/DIRECTOR)
(941) 204-0059
Entity
Organization
Contact information
Practice address
56 MANIZAKS AVE, PUNTA GORDA, FL 33983-4223
(941) 204-0059
Mailing address
56 MANIZAKS AVE, PUNTA GORDA, FL 33983-4223
(941) 204-0059
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY6434
FL
Other
Enumeration date
04/13/2009
Last updated
03/04/2020
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