Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY11291 | FL |
Y | 103T00000X | Psychologist | PY11291 | FL |
N | 103TH0004X | Health Psychologist |
NPI | 1588326433 |
---|---|
Provider Name | Brenda Apagueno |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Cape Coral, FL 33909-1756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2021 |
Last Update Date | 12/01/2022 |