Individual
DR. DAVID JAMES KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8359 BEACON BLVD STE 301, FORT MYERS, FL 33907-3059
(571) 309-7993
Mailing address
4384 BOWSPRIT CT APT 2B, FORT MYERS, FL 33919-4711
(571) 309-7993
(800) 387-5701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
PY8782
FL
103TC0700X
Clinical Psychologist
Primary
PY8782
FL
103TC1900X
Counseling Psychologist
PY8782
FL
Other
Enumeration date
12/05/2013
Last updated
11/19/2024
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