Organization
POOJA SHASTRI, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POOJA SHASTRI PSY.D. (PRESIDENT)
(773) 677-2170
Entity
Organization
Contact information
Practice address
13430 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912-1812
(239) 561-9955
(239) 561-9779
Mailing address
3606 TREASURE COVE CIR, NAPLES, FL 34114-3983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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