Organization
KENT ISLAND PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GERALD DALRYMPLE PH D (OWNER)
(239) 887-8999
Entity
Organization
Contact information
Practice address
13180 N CLEVELAND AVE STE 312, N FORT MYERS, FL 33903-6231
(239) 887-8999
Mailing address
PO BOX 4466, N FORT MYERS, FL 33918-4466
(239) 887-8999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11804019
CAQH
FL
01
—
73032
BC/BS
FL
Enumeration date
12/18/2006
Last updated
04/24/2025
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