Dr. Susan R. King
Psychologist Clinical Psychologist
15901 Bass Rd Ste 108
Fort Myers
, Florida 33908-3838
Dr. Susan R. King
Psychologist Clinical Psychologist
15901 Bass Rd Ste 108
Fort Myers
, Florida 33908-3838
(239) 343-6051
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Susan R. King
- Po Box 2147
- Fort Myers, FL
- Zip : 33902-2147
- Fax : (239) 343-6051
- Phone : (239) 343-6050
Second Address
- Dr. Susan R. King
- 15901 Bass Rd Ste 108
- Fort Myers, FL
- Zip : 33908-3838
- Fax : (239) 343-6051
- Phone : (239) 343-6050
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Is Dr. Susan R. King a sole practitioner?
Is Dr. Susan R. King accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PY6846 | FL |
| Y | 103T00000X | Psychologist | PY6846 | FL |
| N | 103G00000X | Clinical Psychologist | PY6846 | FL |
| N | 103TC0700X | Clinical Psychologist | PY6846 | FL |
National Provider Identifier
| NPI | 1013093624 |
|---|---|
| Provider Name | Dr. Susan R. King |
| First Address | Fort Myers, FL 33902-2147 |
| Second Address | Fort Myers, FL 33908-3838 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 09/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102285100 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.