Individual
DR. MICHELLE LEE BANCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 GOODLETTE RD, NAPLES, FL 34102-5840
(239) 299-8088
Mailing address
400 GOODLETTE RD, NAPLES, FL 34102-5840
(239) 299-8088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11831
FL
106H00000X
Marriage & Family Therapist
MT 2329
FL
Other
Enumeration date
01/25/2009
Last updated
04/06/2023
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