| Jackie Twitchell, Psy.d., P.a. | |
|
8192 College Pkwy Bldg A, Ste 21 Fort Myers FL 33919-5175 | |
| (239) 275-9353 | |
| (239) 466-3390 |
| Full Name | Jackie Twitchell, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8192 College Pkwy, Fort Myers, Florida |
| Authorized Official Name and Position | Jackie A Twitchell (PRESIDENT) |
| Authorized Official Contact | 2392759353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Twitchell, Psy.d., P.a. 8192 College Pkwy Bldg A, Ste 21 Fort Myers FL 33919-5175 Ph: (239) 275-9353 | Jackie Twitchell, Psy.d., P.a. 8192 College Pkwy Bldg A, Ste 21 Fort Myers FL 33919-5175 Ph: (239) 275-9353 |
| NPI Number | 1750681268 |
|---|---|
| Provider Enumeration Date | 10/31/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750681268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5030 (Florida) | Primary |
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