Individual
DR. SHEBA PAIVANDY KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12791 WORLD PLAZA LN, BLDG. #89, FORT MYERS, FL 33907-3989
(239) 247-1756
(239) 690-2438
Mailing address
12791 WORLD PLAZA LN, BLDG 89, FORT MYERS, FL 33907-3989
(239) 247-1756
(239) 690-2438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8046
FL
103TC1900X
Counseling Psychologist
PY8046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790065043
ORGANIZATION NPI
FL
01
—
452038681
TAX ID
FL
Enumeration date
08/13/2010
Last updated
09/16/2016
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