Kimberly Cavanagh
Adult Development & Aging Psychologist
4085 Hancock Bridge Pkwy Ste 101
Fort Myers
, Florida 33903-7220
Kimberly Cavanagh
Adult Development & Aging Psychologist
4085 Hancock Bridge Pkwy Ste 101
Fort Myers
, Florida 33903-7220
(239) 849-8033
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About
Features
Specialties
- Adult Development & Aging Psychologist
Languages spoken
- English
Location
First Address
- Kimberly Cavanagh
- 965 Main St
- Sanibel, FL
- Zip : 33957-4531
- Phone : (239) 849-8033
Second Address
- Kimberly Cavanagh
- 4085 Hancock Bridge Pkwy Ste 101
- Fort Myers, FL
- Zip : 33903-7220
- Phone : (239) 677-3767
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0700X | Adult Development & Aging Psychologist |
National Provider Identifier
| NPI | 1326530841 |
|---|---|
| Provider Name | Kimberly Cavanagh |
| First Address | Sanibel, FL 33957-4531 |
| Second Address | Fort Myers, FL 33903-7220 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2018 |
| Last Update Date | 31/05/2018 |
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.