Kirkwood, Rebecca
Kirkwood, Rebecca is an individual health care provider with primary practice located at 2776 Cleveland Ave Suite 814, Ft Myers FL 33901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kirkwood, Rebecca can be contacted via phone (239) 334-5634.Contact Information
Primary practice address
2776 Cleveland Ave Suite 814
Ft Myers FL 33901
Phone: (239) 334-5634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY5865 | Florida |
Profile Details
| NPI number | 1396728184 |
|---|---|
| LBN Legal business name | Kirkwood, Rebecca |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Mar 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396728184 | NPPES |
| Florida | MEDICAID | 023170700 |
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