NPI 1013460823 · live from the CMS NPI Registry
Marisa Bermudez, PsyD
Psychologist in Fort Myers, FL. National Provider Identifier 1013460823, active.
NPI record
| NPI | 1013460823 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 12499 Brantley Commons Ct Ste 101, Fort Myers, FL 33907 |
| Practice phone | 239-278-3443 |
| Enumerated | July 27, 2016 |
| Last updated | July 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | PY10455 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.