MEDICARE: JUDY SICILIA PSY D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY4797	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	318-6315	OTHER	NY	GHI
2	59386	OTHER		BLUE CROSS BLUE SHIELD
3	083038	OTHER		VALUE OPTIONS
4	3073204	OTHER		HEALTH PARTNERS

General Provider Information

NPI Number	:	1629183298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDY SICILIA PSY D

Provider Business Mailing Address
First Line	:	1560 MATTHEW DR
Second Line	:	UNIT F
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-275-9989
Fax Number	:	239-277-1993

Provider Business Practice Location Address
First Line	:	1560 MATTHEW DR
Second Line	:	UNIT F
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-275-9989
Fax Number	:	239-277-1993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1790742575 — NORPRO PROSTHETICS & ORTHOTICS, INC.
Practice Location Address:

1560 MATTHEW DR , SUITE A
FT MYERS, FL
33907-1702

Practice Phone: 239-274-5555
Practice Fax: 239-274-5556

1750329330 — PARNA SHENOY MD
Practice Location Address:

1560 MATTHEW DR , SUITE G
FORT MYERS, FL
33907-1702

Practice Phone: 239-278-4733
Practice Fax: 239-278-4730

1376581959 — CALOOSA EYE CENTER PA
Practice Location Address:

1560 MATTHEW DR , SUITE G
FORT MYERS, FL
33907-1702

Practice Phone: 239-278-4733
Practice Fax: 239-278-4730

1801919378 — CERWINSKY CHIROPRACTIC CENTER
Practice Location Address:

1560 MATTHEW DR
FORT MYERS, FL
33907-1702

Practice Phone: 239-936-5545
Practice Fax: 239-936-5482

1366699258 — GINDELE CHIROPRACTIC PA
Practice Location Address:

1560 MATTHEW DR , SUITE I
FORT MYERS, FL
33907-1702

Practice Phone: 239-936-5545
Practice Fax: 239-936-5482

1629305628 — REBECCA J BERNAS, PSYD, PLLC
Practice Location Address:

1560 MATTHEW DR , UNIT F
FORT MYERS, FL
33907-1702

Practice Phone: 239-274-7793
Practice Fax: 239-277-1993

Directions to “ JUDY SICILIA PSY D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.