Individual
DR. JOHN MICHAEL POIRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1364 ALCAZAR AVE, FORT MYERS, FL 33901-6617
(239) 332-4293
(239) 332-4297
Mailing address
PO BOX 07283, FORT MYERS, FL 33919-0261
(239) 332-4293
(239) 332-4297
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0005547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650857676
PSYCHOLOGIST
FL
Enumeration date
06/27/2006
Last updated
07/25/2012
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