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Ivan L Mazzorana Jr Md Pa
Psychiatric/Mental Health Nurse Practitioner in Ft Myers, Florida
NPI 1790877488

Ivan L Mazzorana Jr Md Pa is a Psychiatric/Mental Health Nurse Practitioner based in Ft Myers, FL and is specialized in Psychiatric/Mental Health. Ivan L Mazzorana Jr Md Pa practices in Ft Myers, FL. The NPI Number for Ivan L Mazzorana Jr Md Pa is 1790877488 and holds a License No. (Florida).

The current practice location address for Ivan L Mazzorana Jr Md Pa is 12590 Whitehall Dr, Ft Myers, FL and can be reached out via phone at 239-939-9090 and via fax at 239-939-2922.

Location: 12590 Whitehall Dr, Ft Myers, FL, 33907-3620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790877488
Provider Name
Ivan L Mazzorana Jr Md Pa
Credential
Provider Entity Type
Organization
Address
12590 Whitehall Dr, Ft Myers, FL, 33907-3620
Phone Number
239-939-9090
Fax Number
239-939-2922
Provider Enumeration Date
09/29/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3189574 01 GHI
990014183 01 MEDICARE R.R.
institution
Provider Business Practice Location Address Details
Address
12590 Whitehall Dr
City
Ft Myers
State
Florida
Zip
33907-3620
Phone Number
239-939-9090
Fax Number
239-939-2922
person
Provider Business Mailing Address Details
Address
12590 Whitehall Dr
City
Ft Myers
State
Florida
Zip
33907-3620
Phone Number
239-939-9090
Fax Number
239-939-2922
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
()
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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