ANDREW DACOSTA

FORT MYERS, FL
NPI1477386118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: FL  PY12242)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: FL  PY12242)
Enumeration Date2024-08-20
Last Update Date2024-10-15
Business Address
ANDREW DACOSTA Psy.D.
12600 CREEKSIDE LN STE 4
FORT MYERS, FL 33919-3353
Phone number: 239-343-9220
Mailing Address
ANDREW DACOSTA Psy.D.
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 393-439-2202