JACKIE TWITCHELL, PSY.D., P.A.
Social Work in Fort Myers, FL

License number
Florida PY5030
Category
Social Work
Type
Clinical
Owner
Name: DR. JACKIE A TWITCHELL PSY.D.
Title: PRESIDENT
Phone: (239) 275-9353
Address
Address
8192 College Pkwy Bldg A STE 21, Fort Myers, FL 33919
National Provider ID: 1750681268
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jackie Twitchell, Psy.D., PA

Fort Myers, FL  -  Warwick, RI

Status:
Inactive
Industry:
Health Practitioner's Office, Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Mar 8, 1996
Addresses:
8192 College Pkwy, Fort Myers, FL 33919
87 Charlotte Dr, Warwick, RI 02818
State ID:
P96000022406
Business type:
Domestic for Profit Corporation
President:
Jackie Twitchell President, inactive

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