Individual
KELLY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 GOODLETTE-FRANK RD N UNIT 200, NAPLES, FL 34103-4607
(239) 343-6050
(239) 468-7960
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 468-0300
(239) 343-4257
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY12928
FL
103TC0700X
Clinical Psychologist
PY12928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129804400
—
FL
Enumeration date
03/20/2022
Last updated
05/13/2026
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