Organization
CENTER FOR PSYCHOLOGY, PA
Active
Other names
Center for Psychology, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D COHEN PSY.D (PRESIDENT)
(239) 278-3443
Entity
Organization
Contact information
Practice address
12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5676
(239) 278-3443
(239) 278-3550
Mailing address
12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5676
(239) 278-3443
(239) 278-3550
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0003794
FL
103TC0700X
Clinical Psychologist
PY3794
FL
103TH0100X
Health Service Psychologist
PY3794
FL
Other
Enumeration date
07/11/2005
Last updated
04/11/2022
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