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Contact Information

SUSAN R KING, PSY.D.
15901 BASS RD STE 108
FORT MYERS, FL33908-3838
 Phone: 239-343-6050
 Fax: 239-343-6051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN R KING · (Female)

NPI Number 1013093624
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 10/27/2006
Last updated 04/17/2019 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • FL License # PY6846
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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