Individual
JUDY SICILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1560 MATTHEW DR, UNIT F, FORT MYERS, FL 33907-1702
(239) 275-9989
(239) 277-1993
Mailing address
1560 MATTHEW DR, UNIT F, FORT MYERS, FL 33907-1702
(239) 275-9989
(239) 277-1993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083038
VALUE OPTIONS
—
01
—
3073204
HEALTH PARTNERS
—
01
—
318-6315
GHI
NY
01
—
59386
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/21/2006
Last updated
07/08/2007
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