Individual
DR. ANA LETICIA GONTIJO LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13430 PARKER COMMONS BLVD, 101, FORT MYERS, FL 33912-1812
(239) 561-9955
Mailing address
8402 SW 162ND TER, PALMETTO BAY, FL 33157-3683
(305) 510-6724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8684
FL
Other
Enumeration date
02/28/2009
Last updated
06/10/2013
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