Individual
DR. POOJA SHASTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
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
103TA0700X
Adult Development & Aging Psychologist
PY 9643
FL
103TC0700X
Clinical Psychologist
Primary
PY 9643
FL
Other
Enumeration date
09/07/2016
Last updated
03/06/2020
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