Individual
DAVID MICHAEL SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
240 BAREFOOT BEACH BLVD, BONITA SPRINGS, FL 34134-8505
(920) 213-2754
(239) 992-3053
Mailing address
240 BAREFOOT BEACH BLVD, BONITA SPRINGS, FL 34134-8505
(920) 213-2754
(239) 992-3053
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1938-57
WI
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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