Healthcare Provider Details

I. General information

NPI: 1174196315
Provider Name (Legal Business Name): DENA FRANCES LANDRY ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 BENNINGTON DR APT 1
NAPLES FL
34104-1307
US

IV. Provider business mailing address

206 BENNINGTON DR APT 1
NAPLES FL
34104-1307
US

V. Phone/Fax

Practice location:
  • Phone: 239-248-0285
  • Fax:
Mailing address:
  • Phone: 239-248-0285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS724
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11623490
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: