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General NPI Number Information
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NPI Number | 1700774460
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Entity Type | Organization
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Legal Business Name | KAYLA SCHRICKEL, PSY.D., P.A.
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 12751 NEW BRITTANY BLVD STE 405
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City | FORT MYERS
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State | FL
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Zip | 33907-3694
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Country | US
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Telephone | 941-216-6454
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Fax |
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Provider Business Mailing Address
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Address Line | 12751 NEW BRITTANY BLVD STE 405
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City | FORT MYERS
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State | FL
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Zip | 33907-3694
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Country | US
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Telephone | 941-216-6454
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCHRICKEL KAYLA
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Credential | PSY.D.
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Telephone | 941-216-6454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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