Individual
JOANNA TSIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15901 BASS RD STE 102, FORT MYERS, FL 33908-3838
(239) 343-6050
(239) 343-6051
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111722800
—
FL
Enumeration date
05/13/2019
Last updated
03/12/2025
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