Organization
CENTER FOR PSYCHOLOGICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATASHA GORMAN ED.S (LICENSE SCHOOL PSYCHOLOGIST)
(305) 342-1799
Entity
Organization
Contact information
Practice address
1117 NW 14TH ST, CAPE CORAL, FL 33993-6014
(305) 342-1799
Mailing address
1117 NW 14TH ST, CAPE CORAL, FL 33993-6014
(305) 342-1799
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1367
FL
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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